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Question - A 60-year-old female A.V. is sent to the hospital from her Primary Care Provider's (PCP's) office for treatment of hyperkalemia (K 6.2). Your charge nurse notifies you that the patient will be directly admitted to one of your rooms on the Progressive Care Unit (PCU). When A.V. arrives, you complete a health history and assessment, and she provides you with a copy of her home medication list: Aspirin 81mg po daily, Amlodipine 10mg po daily, Lisinopril 20mg po daily, Spironolocatone 25mg po daily, and Atorvastatin 40mg po daily.
1. What is the most likely etiology of this patient's potassium imbalance? Please explain the rationale for your answer.
2. What assessment findings would you anticipate in a patient with hyperkalemia?
3. Identify the possible complications for this patient. What does the nurse need to be alert for?
4. What is the most appropriate treatment at this time? Please include both medical and nursing management?
5. The physician orders education on a low potassium diet. What dietary education should be provided to this patient?
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