A nurse is reviewing the medical record of a client who has chronic kidney disease. The client's potassium level is 6.5 mEq/L. Which of the following actions should the nurse take?

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Question 1 of 5

A nurse is reviewing the medical record of a client who has chronic kidney disease. The client's potassium level is 6.5 mEq/L. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Administer sodium polystyrene sulfonate. Sodium polystyrene sulfonate is used to treat hyperkalemia by promoting the excretion of potassium. Choice A, administering sodium bicarbonate, is incorrect as it is not used to treat hyperkalemia. Choice C, administering calcium gluconate, is incorrect as it is used to treat hypocalcemia, not hyperkalemia. Choice D, administering calcium carbonate, is incorrect as it is used to treat conditions like osteoporosis and indigestion, not hyperkalemia.

Question 2 of 5

A nurse is providing dietary teaching to a client with chronic kidney disease. Which of the following foods should the nurse recommend?

Correct Answer: C

Rationale: The correct answer is C: White bread. White bread is low in potassium, making it a suitable choice for clients with chronic kidney disease to prevent hyperkalemia. Canned soup (choice A), bananas (choice B), and processed meats (choice D) are high in potassium and should be limited or avoided by individuals with chronic kidney disease to manage their condition effectively.

Question 3 of 5

A nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?

Correct Answer: B

Rationale: Lorazepam is the correct medication to administer in this situation. It is used to manage the symptoms of alcohol withdrawal and prevent complications like seizures and delirium tremens. Metoclopramide is primarily used to treat gastrointestinal issues, Haloperidol is an antipsychotic medication used for conditions like schizophrenia, and Methadone is typically used in managing opioid dependence. These medications are not the first-line treatment for alcohol withdrawal.

Question 4 of 5

A nurse is caring for a client who has a prescription for a low-sodium diet. Which of the following foods should the nurse recommend?

Correct Answer: B

Rationale: Fresh vegetables are an excellent choice for clients on a low-sodium diet as they are naturally low in sodium. Pickles, canned soup, and smoked salmon are high in sodium and should be avoided by clients following a low-sodium diet. Pickles are pickled in a brine solution high in sodium, canned soup usually contains added salt for preservation, and smoked salmon is a processed food that typically has a high sodium content.

Question 5 of 5

A nurse is providing discharge teaching to a client who has a new prescription for lisinopril. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: A

Rationale: The correct answer is A: 'I may experience a persistent cough while taking this medication.' Lisinopril is known to cause a persistent cough as a common side effect. This statement indicates that the client understands the potential side effect associated with the medication. Choice B is incorrect because lisinopril is typically taken on an empty stomach. Choice C is incorrect as increasing potassium-rich foods without healthcare provider guidance can lead to hyperkalemia. Choice D is incorrect because a headache is not a common reason to stop taking lisinopril.

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