The intensive care nurse explains to a patient with acute kidney injury that the most effective method for reducing hyperkalemia is the use of:
1. Insulin plus glucose
2. Inhaled beta agonists
3. Sodium bicarbonate
4. Hemodialysis
4
Rationale 1: Insulin plus glucose lowers the total body concentration of potassium but temporarily shifts the potassium into the cells, allowing time to institute other interventions that will decrease the total body concentration of potassium.
Rationale 2: Inhaled beta agonists lower the total body concentration of potassium, but temporarily shift the potassium into the cells, allowing time to institute other interventions that will decrease the total body concentration of potassium.
Rationale 3: Sodium bicarbonate lowers the total body concentration of potassium, but temporarily shifts the potassium into the cells, allowing time to institute other interventions that will decrease the total body concentration of potassium.
Rationale 4: Hemodialysis is the most effective method of adequately treating severe hyperkalemia. This method lowers the total body concentration of potassium.
You might also like to view...
While reviewing a client's health insurance plan, the nurse remembers that the first prepaid medical plan was started in:
a. Pacific Northwest lumber and mining camps. b. Chicago. c. New York City. d. Washington DC.
Write the metric measure using official abbreviations and notation rules: one hundred milliliters __________
Fill in the blank(s) with correct word
Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to review his medications. He is healthy with only mild hypertension that is well controlled
He asks about getting "a shot" to prevent blood clots like his friend Ralph did before international travel. The correct respond would be: 1. Administer one dose of low-molecular weight heparin 24 hours before travel. 2. Prescribe one dose of warfarin to be taken the day of travel. 3. Consult with a hematologist regarding a treatment plan for Cecil. 4. Explain that Cecil is not at high risk of a blood clot and provide education about how to prevent blood clots while traveling.
Which statement made by a LPN – RN transition student best shows an understanding of the expectations the NLN has identified for the graduates of an associate degree nursing program regarding lifelong learning?
A) "I will need to get 2 years of pediatric nursing experience before I can apply to act as a RN mentor on that unit." B) "I plan to follow up with earning my bachelor's degree in nursing within 5 years of graduating from this program." C) "All the equipment in-services the unit offers RNs certainly helps support their ability to use the new technologies." D) "Continuing education credits will be easy to get since the hospital offers them to the nurses on a regular bases."