Practice Quiz

PCCN Progressive Care Certified Nursing

Category - PCCN

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A client with renal failure has a potassium level of 6.0 mEq/L. A Kayexalate enema is prescribed for the client. Which of the following actions by the nurse shows that the medication is administered correctly?
  1. The Kayexelate suspension is retained in the colon for 30 minutes
  2. The suspension is allowed to cool before administration
  3. When the back leakage occurs, the hips are lowered
  4. The colon is irrigated with a sodium-containing solution at body temperature to remove the resin
Explanation
Answer: A - The Kayexalate suspension is retained in the colon for at least 30 to 60 minutes for the exchange between the sodium and potassium to occur. The suspension should be warmed before the administration. If a back leakage occurs, the hips are elevated on pillows. In order to remove the resin, a non-sodium containing solution is irrigated.
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