The nurse is caring for a 1-year-old diagnosed with acute renal failure (ARF). Edema is noted throughout the child’s body, and the liver is enlarged. The child’s urine output is less than 0.5 mL/kg/hr, and vital signs are as follows: HR 146, BP 176/92, and RR 42. The child is noted to have nasal flaring and retractions with inspirations. The lung sounds are coarse throughout. Despite receiving oral Kayexalate, the child’s serum potassium continues to rise. Which treatment will provide the most benefit to the child?
A. Additional rectal Kayexalate
B. Intravenous furosemide
C. Endotracheal intubation and ventilator assistance
D. Placement of a Tenckhoff catheter for peritoneal dialysis
Answer:D
The nurse is caring for a 1-year-old diagnosed with acute renal failure (ARF). Edema is noted throughout the child’s body, and the liver is enlarged. The child’s urine output is less than 0.5 mL/kg/hr, and vital signs are as follows: HR 146, BP 176/92, and RR 42. The child is noted to have nasal flaring and retractions with inspirations. The lung sounds are coarse throughout. Despite receiving oral Kayexalate, the child’s serum potassium continues to rise. Which treatment will provide the most benefit to the child?
A. Additional rectal Kayexalate B. Intravenous furosemide C. Endotracheal intubation and ventilator assistance D. Placement of a Tenckhoff catheter for peritoneal dialysis