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A patient has a potassium level of 9.0. Which nursing intervention is priority?

A. Prepare the patient for dialysis and place the patient on a cardiac monitor
B. Administer Spironolactone
C. Place patient on a potassium restrictive diet
D. Administer a laxative

User Jshkol
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1 Answer

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Final answer:

The priority nursing intervention for a patient with a critically high potassium level of 9.0 meq/L is to prepare for dialysis and to monitor cardiac activity closely due to the risks of fatal cardiac dysrhythmias associated with hyperkalemia.

Step-by-step explanation:

A patient with a potassium level of 9.0 meq/L is critically hyperkalemic, which is a potentially life-threatening condition and must be treated as a medical emergency. The priority nursing intervention for a patient with such a high potassium level would be A. Prepare the patient for dialysis and place the patient on a cardiac monitor. This is because hyperkalemia can lead to serious cardiac complications, and the rapid reduction of serum potassium via dialysis is paramount. Additionally, placing the patient on a cardiac monitor allows for continuous monitoring of cardiac electrical activity, as hyperkalemia can cause fatal cardiac dysrhythmias.

Other interventions like administering Spironolactone, a potassium-sparing diuretic, placing the patient on a potassium restrictive diet, or administering a laxative are not immediate lifesaving measures and, therefore, are not the priority in such a critical situation.

User Kobowo
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