« previous next »

Author Question: Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before ... (Read 77 times)

BRWH

  • Hero Member
  • *****
  • Posts: 553
on: Jun 25, 2018
Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before administering the medication, the nurse should assess the
 
  a. bowel sounds.
  b. blood glucose.
  c. blood urea nitrogen (BUN).
  d. level of consciousness (LOC).

Question 2

Which statement by a 62-year-old patient with stage 5 chronic kidney disease (CKD) indicates that the nurse's teaching about management of CKD has been effective?
 
  a. I need to get most of my protein from low-fat dairy products.
  b. I will increase my intake of fruits and vegetables to 5 per day.
  c. I will measure my urinary output each day to help calculate the amount I can drink.
  d. I need to take erythropoietin to boost my immune system and help prevent infection.


shaikhs

  • Sr. Member
  • ****
  • Posts: 312
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Sodium polystyrene sulfonate (Kayexalate) should not be given to a patient with a paralytic ileus (as indicated by absent bowel sounds) because bowel necrosis can occur. The BUN and creatinine, blood glucose, and LOC would not affect the nurse's decision to give the medication.

Answer to Question 2

ANS: C
The patient with end-stage kidney disease is taught to measure urine output as a means of determining an appropriate oral fluid intake. Erythropoietin is given to increase the red blood cell count and will not offer any benefit for immune function. Dairy products are restricted because of the high phosphate level. Many fruits and vegetables are high in potassium and should be restricted in the patient with CKD.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

An example of sodium balance achieved by the coordinated actions of three hormones. An example of sodium balance achieved by the coordinated actions of three hormones.
Documenting the health history is a crucial step in providing patient care Documenting the health history is a crucial step in providing patient care
Taking a Patient’s Temperature with a Tympanic Thermometer Taking a Patient’s Temperature with a Tympanic Thermometer
Symptoms of a patient in shock. Symptoms of a patient in shock.
Grief Responses and Patient Verbalization Grief Responses and Patient Verbalization
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Video: Non-polar compounds - insolubility

For a complete list of videos, visit our video library