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breyia1006 breyia1006
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6 years ago
The nurse is obtaining the intershift report for a group of assigned clients. Which of the following assigned clients should the nurse monitor closely for signs of hyperkalemia?
 
  1. A client with ulcerative colitis
  2. A client with Cushing's syndrome
  3. A client admitted 6 hours ago with a 40 burn injury
  4. A client who has a history of long-term laxative abuse
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6 years ago
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Rationale: Hyperkalemia is likely to occur in clients who experience cellular shifting of potassium caused by early massive cell destruction, such as in trauma or burns. Other clients at risk for hyperkalemia are those with sepsis or metabolic or respiratory acidosis (with the exception of diabetic acidosis). Clients with Cushing's syndrome, ulcerative colitis, or those using laxatives excessively are at risk for hypokalemia.
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