After the nurse provides a client diagnosed with acute renal ...

[acc299]

After the nurse provides a client diagnosed with acute renal failure with Kayexalate 30 grams by mouth, the client begins to experience frequent loose bowel movements. Which of the following does this client's response indicate to the nurse?
 
  1. The client needs to be treated with insulin and dextrose.
  2. The client needs to receive sodium bicarbonate.
  3. The client needs an additional dose of Kayexalate.
  4. The client is experiencing a response that is indicative of successful treatment.

Question 2

A client has been instructed regarding a prolactin level to be drawn the next day. Which of the following statements indicate that the client will need further instruction?
 
  1. I will be on time, in the afternoon.
  2. I will be relaxed.
  3. I will make sure not to take my antihistamine.
  4. I will practice another method of birth control rather than the pill.

[sarah_brady415]

Answer to Question 1

4
After receiving an oral dose of Kayexalate, loose bowel movements should occur. This is indicative of successful treatment. The client does not need to be treated with insulin and dextrose. The client does not need to receive sodium bicarbonate. The client does not need an additional dose of Kayexalate unless the potassium level remains elevated.

Answer to Question 2

1
Certain medications (e.g., antihistamines and oral contraceptives) and fear can increase the prolactin level. The prolactin level is drawn in the morning.