A client's potassium level is 6.7 mEq/L. Which intervention should you delegate to the first-year student nurse whom you are supervising?

1. Administer sodium polystyrene sulfonate (Kayexalate) 15 g orally.
2. Administer spironolactone (Aldactone) 25 mg orally.
3. Assess the electrocardiogram (ECG) strip for tall T waves.
4. Administer potassium 10 mEq orally.

Question

02-12-2023
Medicine

College

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A client's potassium level is 6.7 mEq/L. Which intervention should you delegate to the first-year student nurse whom you are supervising?

1. Administer sodium polystyrene sulfonate (Kayexalate) 15 g orally.
2. Administer spironolactone (Aldactone) 25 mg orally.
3. Assess the electrocardiogram (ECG) strip for tall T waves.
4. Administer potassium 10 mEq orally.

Answer :

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poonamyadav poonamyadav · Answer 1 · 2024-07-06T15:12:17-04:00

Final answer:

For a client with a potassium level of 6.7 mEq/L indicating hyperkalemia, the best intervention to delegate to a first-year student nurse is to assess the ECG strip for tall T waves. This task is within the scope of a student nurse's capabilities and is appropriate given the need for monitoring without administering medication. So the correct answer is C) Assess the electrocardiogram strip for tall T waves

Explanation:

A client's potassium level is 6.7 mEq/L, indicating hyperkalemia. In this scenario, which intervention should you delegate to a first-year student nurse whom you are supervising? Given the options, the most appropriate and safest task for a first-year student nurse would be to Assess the electrocardiogram (ECG) strip for tall T waves.

This is because monitoring and interpreting ECG changes, such as tall T waves, require less clinical skill and experience than administering medications, making it a suitable task for a student nurse under supervision.

Administering potassium would be inappropriate given the elevated potassium levels. Administering sodium polystyrene sulfonate (Kayexalate) and spironolactone (Aldactone) are tasks that involve medication administration, which carry higher risks and responsibilities, and thus, should be handled by more experienced healthcare professionals in the context of hyperkalemia management.