« previous next »

Author Question: A school-age child with chronic renal failure is admitted to the hospital with a serum potassium ... (Read 42 times)

jrubin

  • Hero Member
  • *****
  • Posts: 552
on: Jun 28, 2018
A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
 
  a. Spironolactone (Aldactone)
  b. Sodium polystyrene sulfonate (Kayexalate)
  c. Lactulose (Cephulac)
  d. Calcium carbonate (Calcitab)

Question 2

A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?
 
  a. WBC <1; specific gravity 1.008 c. WBC >2; specific gravity 1.016
  b. WBC <2; specific gravity 1.025 d. WBC >2; specific gravity 1.030


chem1s3

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
Normal serum potassium levels in a school-age child are 3.5 to 5 mEq/L. Sodium polystyrene sulfonate is administered to reduce serum potassium levels. Spironolactone is a potassium-sparing diuretic and should not be used if the serum potassium is elevated. Lactulose is administered to reduce ammonia levels in patients with liver disease. Calcium carbonate may be prescribed as a calcium supplement, but it will not reduce serum potassium levels.

Answer to Question 2

ANS: D
The white blood cell count (WBC) in a routine urinalysis should be <1 secretion.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Welcome to nursing school Welcome to nursing school
Potassium-Sodium Pump Potassium-Sodium Pump
Supervised role-play can help a child feel more at ease during office visits. Supervised role-play can help a child feel more at ease during office visits.
How to use L'Hospital's Rule to find the limit of a function (Part 2) How to use L'Hospital's Rule to find the limit of a function (Part 2)
Child Development: A Topical Approach Child Development: A Topical Approach
100 days in school 100 days in school
Video: Carbohydrate digestion - mouth and stomach & pancreas and small intestine

For a complete list of videos, visit our video library