nerdexam
Test_Prep

NCLEX-RN · Question #804

NCLEX-RN Question #804: Real Exam Question with Answer & Explanation

The correct answer is D. Drive potassium from the serum back into the cells. (A) Sodium polystyrene sulfonate (Kayexalate), a cation exchange resin, exchanges sodium ions for potassium ions in the large intestine reducing the serum potassium. (B) Calcium is administered to protect the myocardium from the adverse effects of hyperkalemia. Serum levels refle

Question

Stat serum electrolytes ordered for a client in acute renal failure revealed a serum potassium level of 6.4. The physician is immediately notified and orders 50 mL of dextrose and 10 U of regular insulin IV push. The nurse administering these drugs knows the Rationale for this therapy is to:

Options

  • ARemove the potassium from the body by renin exchange
  • BProtect the myocardium from the effects of hypokalemia
  • CPromote rapid protein catabolism
  • DDrive potassium from the serum back into the cells

Explanation

(A) Sodium polystyrene sulfonate (Kayexalate), a cation exchange resin, exchanges sodium ions for potassium ions in the large intestine reducing the serum potassium. (B) Calcium is administered to protect the myocardium from the adverse effects of hyperkalemia. Serum levels reflect hyperkalemia. (C) Rapid catabolism releases potassium from the body tissue into the bloodstream. Infection and hyperthermia increase the process of catabolism. (D) The administration of dextrose and regular insulin IV forces potassium back into the cells decreasing the potassium in the serum.

Community Discussion

No community discussion yet for this question.

Full NCLEX-RN Practice