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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?

A.

Digoxin

B.

Lisinopril

C.

Potassium iodide

D.

Furosemide

Answer and Explanation

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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View Related questions

Correct Answer is B

Explanation

A. Vomiting: While vomiting can occur during anaphylaxis, it is not the most immediately life-threatening symptom.

B. Stridor: Stridor indicates upper airway obstruction, which is a critical and life-threatening sign of anaphylaxis. This finding requires immediate intervention, such as administering epinephrine and ensuring airway patency.

C. Hypertension: Hypertension is not typically associated with anaphylaxis; instead, hypotension is more common due to vascular collapse.

D. Urticaria: Urticaria (hives) can occur in anaphylaxis, but it is not as urgent as stridor, which indicates a compromised airway.

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.

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