The patient who has potassium level of 6.5 mEq/L is to receive sodium polystyrene sulfonate (Kayexalate) orally. After administering the drug, the priority nursing action is to monitor? A. urine output. B. blood pressure. C. bowel movements. D. ECG for tall, peaked T waves.
Question
The patient who has potassium level of 6.5 mEq/L is to receive sodium polystyrene sulfonate (Kayexalate) orally. After administering the drug, the priority nursing action is to monitor? A. urine output. B. blood pressure. C. bowel movements. D. ECG for tall, peaked T waves.
Solution
After administering sodium polystyrene sulfonate (Kayexalate) orally to a patient with a potassium level of 6.5 mEq/L, the priority nursing action is to monitor the following:
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Urine output: It is important to monitor the patient's urine output as high potassium levels can affect kidney function. Increased urine output may indicate that the medication is effectively lowering the potassium levels.
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Blood pressure: High potassium levels can lead to hypertension. Monitoring the patient's blood pressure is crucial to ensure that it remains within a safe range after administering the medication.
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Bowel movements: Sodium polystyrene sulfonate (Kayexalate) works by binding to potassium in the intestines and promoting its excretion through bowel movements. Monitoring the patient's bowel movements can help assess the effectiveness of the medication in reducing potassium levels.
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ECG for tall, peaked T waves: High potassium levels can cause changes in the electrical activity of the heart, leading to tall, peaked T waves on an electrocardiogram (ECG). Monitoring the patient's ECG can help detect any cardiac abnormalities associated with hyperkalemia.
Therefore, the correct answer is D. ECG for tall, peaked T waves. Monitoring the ECG for any changes is the priority nursing action after administering sodium polystyrene sulfonate (Kayexalate) orally to a patient with a potassium level of 6.5 mEq/L.
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