Acute and Chronic Renal Failure · NCLEX Exam

What intervention should the nurse expect to perform first for a client with acute renal failure and serum potassium of 6.8 mEq/L?

  1. Administer sodium polystyrene sulfonate
  2. Restrict dietary potassium
  3. Administer IV calcium gluconate
  4. Prepare for dialysis tomorrow
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Correct answer: Administer IV calcium gluconate

IV calcium gluconate stabilizes the cardiac membrane to prevent life-threatening arrhythmias from hyperkalemia, making it the priority before other interventions.

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