Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hyperkalemia. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Place the client on a cardiac monitor. Hyperkalemia can lead to life-threatening cardiac arrhythmias. By placing the client on a cardiac monitor, the nurse can continuously monitor the client's heart rhythm for any signs of arrhythmias. This allows for prompt detection and intervention if needed to prevent cardiac complications.
A: Warming the formula to room temperature is not relevant to managing hyperkalemia.
B: Requesting a lactose-free formula is not necessary for addressing hyperkalemia.
C: Administering IV dextrose does not directly address hyperkalemia and may not be appropriate for this situation.
A: Warming the formula to room temperature is not relevant to managing hyperkalemia.
B: Requesting a lactose-free formula is not necessary for addressing hyperkalemia.
C: Administering IV dextrose does not directly address hyperkalemia and may not be appropriate for this situation.