Ncsbn - Lesson 6 Post Test Study Guide Rated A+

The nurse is caring for a client with chronic renal failure. Which of the following orders written by the health care provider would the nurse question? Recombinant human erythropoietin (Epoetin alpha) 100 units/kg SubQ 1-3 times/week Furosemide (Lasix) 40 mg orally twice a day Potassium chloride (Micro-K) 20 mEq daily with breakfast Sodium polystyrene sulfonate (Kayexalate) 50 grams rectally today {Ans: Potassium chloride (Micro-K) 20 mEq daily with breakfast Hyperkalemia is the most common and life-threatening metabolic complication of renal failure. Consequently, additional potassium would be contraindicated. Recombinant human erythropoietin is prescribed to treat anemia. Diuretics such as furosemide are used to treat edema caused by chronic kidney failure. Kayexalate is a potassium-binding resin used to prevent or treat hyperkalemia.}A client requires rapid infusion of packed red cells. What is the benefit of using a blood warmer when rapidly infusing multiple units of packed red cells? Reduces the risk of acute allergic reaction Increases peripheral dilatation and comfort Increases likelihood of serum hypokalemia Eliminates potential for lysis of the blood cells {Ans: Increases peripheral dilatation and comfort When blood is received from the blood bank, it is cold. Rapidly infusing cold blood is uncomfortable and can cause hypothermia;