During change of shift report, a nurse is informed that a patient has new orders for sodium polystyrene (Kayexalate). After providing the treatment later in the shift, which of the following statements would most likely document the patient's care?
A) "Telemetry shows normal sinus rhythm; Kayexalate provided; patient had two stools this shift."
B) "Kayexalate provided, monitoring patient's level of consciousness q2h."
C) "Kayexalate given per order for hypokalemia; patient resting comfortably."
D) "IV D51/2NS with 20 mEq potassium chloride (KCl) infusing without difficulty; Kayexalate provided; adequate urine output noted."

Question

Quizplus · Accepted Answer

Kayexalate (sodium polystyrene sulfonate) is used to treat hyperkalemia (high levels of potassium in the blood) by promoting the exchange of sodium for potassium in the intestines, leading to increased potassium excretion through the stools. The documentation in choice A is appropriate because it mentions the administration of Kayexalate and observes the expected outcome of increased bowel movements (two stools), which indicates the medication's effectiveness in removing potassium from the body.

During Change of Shift Report, a Nurse Is Informed That