A client with chronic kidney disease has potassium 6.3 mEq/L and peaked T waves on ECG. What is the priority intervention?

Question

Accepted Answer

B. Administer IV insulin with dextrose as ordered and place the client on cardiac monitoring — Hyperkalemia with ECG changes is an emergency. Insulin shifts potassium into cells quickly (with dextrose to prevent hypoglycemia). Continuous cardiac monitoring and additional treatments (calcium, dialysis) may be required per orders.

Answer

A. Give sodium polystyrene sulfonate only

Answer

C. Encourage foods high in potassium

Answer

D. Give IV furosemide without monitoring labs