Question

30 of 50
a client with acute kidney injury has a serum potassium level of 7.0 meq/l. the lpn would plan which actions as a priority? select all that apply.
laboratory results
test and results reference range
rationale, strategy, reference, tip
answer options
1 place the client on a cardiac monitor
2 notify the rn and/or primary health care provider (phcp)
3 put the client on nothing by mouth (npo) status except for ice chips.
4 review the clients medications to determine whether any contain or retain potassium
5 allow an extra 500 ml of intravenous fluid intake to dilute the electrolyte - concentration

Explanation:

A serum potassium level of 7.0 mEq/L is high (hyperkalemia), which can cause cardiac arrhythmias. Placing on a cardiac monitor helps detect arrhythmias. Notifying the RN/PHCP is necessary for further management. Reviewing medications for potassium - containing or potassium - retaining ones can help address the cause. NPO status and extra IV fluids are not appropriate immediate actions for hyperkalemia.

Answer:

1. Place the client on a cardiac monitor
2. Notify the RN and/or primary health care provider (PHCP)
3. Review the client's medications to determine whether any contain or retain potassium