The nurse is caring for a patient who has chronic kidney disease. Laboratory test results show a potassium level of 6 mEq/L. Which of the following actions would be most appropriate for the nurse to take? (Select all that apply.)
a. Repeat laboratory test of electrolyte levels.
b. Inform registered nurse to notify physician.
c. Administer the patient an antacid.
d. Give the patient a glass of orange juice.
e. Place the patient on a cardiac monitor.
f. Obtain consent for hemodialysis.
ANS: B, E
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.
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