A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?
Digoxin
Lisinopril
Potassium iodide
Furosemide
The Correct Answer is D
A. Digoxin: Digoxin requires caution with elevated potassium levels, as hyperkalemia can increase the risk of digoxin toxicity. A potassium level of 5.3 mEq/L is borderline high, so it should be used cautiously.
B. Lisinopril: Lisinopril, an ACE inhibitor, can also increase potassium levels. It may not be the best choice for this client due to the elevated potassium.
C. Potassium iodide: Potassium iodide would further increase the client's potassium level and is contraindicated.
D. Furosemide: Furosemide is a loop diuretic that can help to lower serum potassium levels by promoting potassium excretion. Therefore, it is appropriate for this client with an elevated potassium level.
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Correct Answer is D
Explanation
A. "This may mean that your liver is failing and you need immediate medical attention." This statement is misleading; orange-red urine is not typically a sign of liver failure, especially in the context of a urinary tract infection.
B. "This is an expected finding for someone with a diet high in red meat." While diet can affect urine color, red meat is not commonly associated with orange-red urine; this is not a relevant response given the client's context.
C. “This is a symptom that your urinary tract infection is worsening. I will notify the provider.” While it is important to monitor urinary tract infections, orange-red urine is more likely related to the use of phenazopyridine rather than a worsening infection.
D. “This is an expected finding if you are taking the over-the-counter medication, Phenazopyridine.” Phenazopyridine is known to cause orange-red discoloration of urine, and this statement provides reassurance to the client regarding their symptoms
Correct Answer is A
Explanation
A. BUN 45 mg/dL and creatinine 8 mg/dL: These levels indicate significant kidney impairment; elevated BUN and creatinine levels are typical in chronic kidney disease.
B. BUN 8 mg/dL and creatinine 0.7 mg/dL: These values are within normal limits and suggest good kidney function, not indicative of chronic kidney disease.
C. BUN 10 mg/dL and creatinine 0.3 mg/dL: These values are much lower than expected in chronic kidney disease, indicating normal renal function.
D. BUN 23 mg/dL and creatinine 1.0 mg/dL: While these levels show mild elevation, they do not reflect the more severe impairment typically seen in chronic kidney disease.