Author Question: A client's serum potassium level is 5.4 mEq/L. What intervention may correct this type of potassium ... (Read 101 times)

Bob-Dole · **on:** Jul 23, 2018

A client's serum potassium level is 5.4 mEq/L. What intervention may correct this type of potassium imbalance?

a. Restriction of foods containing potassium
b. Administration of sodium bicarbonate (NaHCO3)
c. Administration of insulin and glucose
d. Administration of sodium polystyrene sulfonate (Kayexalate) and sorbitol

Question 2

Which physician order would the nurse question when administering IV fluids with potassium chloride (KCl)?

a. Inject IV KCl directly into the IV tubing.
b. Check for infiltration because potassium is irritating to subcutaneous tissues.
c. Check for phlebitis because potassium is irritating to the veins.
d. Check for adequate urinary output (kidney dysfunction can cause potassium retention that may lead to hyperkalemia).

amanda_14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Mild hyperkalemia may be treated with dietary restriction of potassium-rich foods.

Answer to Question 2

ANS: A
KCl should never be directly injected, but must be diluted so that it will not cause venous or tissue damage, or more serious effects of a large bolus, such as cardiac standstill.