A client at risk for developing hyperkalemia states, I love fruit and usually eat it every day, but now I can't because of my high potassium level. How should the nurse respond?
a. Potatoes and avocados can be substituted for fruit.
b. If you cook the fruit, the amount of potassium will be lower.
c. Berries, cherries, apples, and peaches are low in potassium.
d. You are correct. Fruit is very high in potassium.
Question 2After teaching a client to increase dietary potassium intake, a nurse assesses the client's understanding. Which dietary meal selection indicates the client correctly understands the teaching?
a. Toasted English muffin with butter and blueberry jam, and tea with sugar
b. Two scrambled eggs, a slice of white toast, and a half cup of strawberries
c. Sausage, one slice of whole wheat toast, half cup of raisins, and a glass of milk
d. Bowl of oatmeal with brown sugar, a half cup of sliced peaches, and coffee
Question 3A nurse is assessing a client with hypokalemia, and notes that the client's handgrip strength has diminished since the previous assessment 1 hour ago. Which action should the nurse take first?
a. Assess the client's respiratory rate, rhythm, and depth.
b. Measure the client's pulse and blood pressure.
c. Document findings and monitor the client.
d. Call the health care provider.
Question 4A nurse is assessing clients on a medical-surgical unit. Which client is at risk for hypokalemia?
a. Client with pancreatitis who has continuous nasogastric suctioning
b. Client who is prescribed an angiotensin-converting enzyme (ACE) inhibitor
c. Client in a motor vehicle crash who is receiving 6 units of packed red blood cells
d. Client with uncontrolled diabetes and a serum pH level of 7.33
Question 5A nurse cares for a client who has a serum potassium of 7.5 mEq/L and is exhibiting cardiovascular changes. Which prescription should the nurse implement first?
a. Prepare to administer sodium polystyrene sulfate (Kayexalate) 15 g by mouth.
b. Provide a heart healthy, low-potassium diet.
c. Prepare to administer dextrose 20 and 10 units of regular insulin IV push.
d. Prepare the client for hemodialysis treatment.
Question 6A nurse is caring for a client who has the following laboratory results: potassium 3.4 mEq/L, magnesium 1.8 mEq/L, calcium 8.5 mEq/L, sodium 144 mEq/L. Which assessment should the nurse complete first?
a. Depth of respirations
b. Bowel sounds
c. Grip strength
d. Electrocardiography
Question 7A nurse teaches a client who is at risk for mild hypernatremia. Which statement should the nurse include in this client's teaching?
a. Weigh yourself every morning and every night.
b. Check your radial pulse twice a day.
c. Read food labels to determine sodium content.
d. Bake or grill the meat rather than frying it.
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