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Author Question: A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order ... (Read 45 times)

D2AR0N

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on: Jun 28, 2018
A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child?
 
  A.
  Calcium gluconate
  B.
  Dextrose and insulin
  C.
  Emergent dialysis
  D.
  Kayexalate (sodium polystyrene) enema

Question 2

An adolescent patient with acute kidney injury (AKI) asks why she is taking Tums (calcium carbonate). Which response by the nurse is the most appropriate?
 
  A.
  Gets rid of phosphorus
  B.
  Prevents Curling ulcers
  C.
  Prevents gastric reflux
  D.
  Provides calcium


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cdmart10

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
Kayexalate enemas can take up to 4 hours to work. With critical hyperkalemia, the drug of choice needs to work faster than this. The other options would all work faster.

Answer to Question 2

ANS: A
In AKI, phosphorus is high, and patients are given phosphorus binders, such as Tums. They are not used to prevent reflux or Curling ulcers (seen in burns), or to provide calcium.


D2AR0N

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Reply 2 on: Jun 28, 2018
Excellent

chjcharjto14

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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