Question

A client with acute kidney injury has a serum potassium level of 7.0 mEq/L (7.0 mmol/L). The nurse should plan which actions as a priority? Select all that apply.

1.Place the client on a cardiac monitor.
2.Notify the health care provider (HCP).
3.Put the client on NPO (nothing by mouth) status except for ice chips. 4.Review the client's medications to determine if any contain or retain potassium.
5.Allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte concentration.

Answer 1

The nurse should prioritize placing the client on a cardiac monitor, notifying the health care provider (HCP), and reviewing the client's medications.

Step-by-step explanation:

When a client with acute kidney injury has a serum potassium level of 7.0 mEq/L (7.0 mmol/L), the nurse should prioritize the following actions:

1. Place the client on a cardiac monitor: Elevated potassium levels can cause cardiac arrhythmias, so monitoring the client's heart rhythm is essential.
2. Notify the health care provider (HCP): The high potassium level indicates a potential medical emergency, and the HCP needs to be informed for further evaluation and intervention.
3. Review the client's medications to determine if any contain or retain potassium: Certain medications can contribute to hyperkalemia, so it is important to assess the client's medication list for potential causes.