A patient with chronic kidney disease has a serum potassium level of 6 mEq/L. Which action should the nurse take? (Select all that apply.)
a. Obtain consent for hemodialysis.
b. Administer the patient an antacid.
c. Place the patient on a cardiac monitor.
d. Give the patient a glass of orange juice.
e. Repeat laboratory test of electrolyte levels.
f. Inform RN to notify physician.
ANS: C, F
As the kidneys lose their ability to excrete electrolytes, such as sodium, potassium, and magnesium, these substances accumulate at high levels in the blood and may cause life-threatening dysrhythmias. Notify the RN and physician for treatment orders, and place the patient on a cardiac monitor to detect dysrhythmias. A. The patient may or may not need dialyzed at this time. B. An antacid will not help reduce the potassium level. D. Orange juice has potassium and would be contraindicated for the patient at this time. E. The physician needs to prescribe repeat laboratory tests for the patient.
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