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Which of the following is the priority intervention, based on the assessment data? A client who is post-gallbladder surgery has a nasogastric tube, decreased reflexes, pulse of 110 weak and irregular, and blood pressure of 80/50 and is weak, mildly confused, and has a serum of potassium of 3.0 mEq/L.



A. Withhold furosemide (Lasix)
B. Notify the physician
C. Administer the prescribed potassium supplement
D. Instruct the client on foods high in potassium

This question is part of Fluids and Electrolytes NCLEX practice questions
Asked by Wyatt Williams, Last updated: Sep 08, 2020

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Wyatt Williams

Wyatt Williams

Wyatt Williams
Wyatt Williams

Answered May 18, 2018

Notify the physician

The priority intervention for a client who had gallbladder surgery, has a nasogastric tube, decreased reflexes, pulse of 110 weak and irregular, and blood pressure of 80/50 and is weak, mildly confused, and has a serum potassium of 3.0 mEq/L would be to notify the physician that the potassium level is low. After notifying the physician, the furosemide (Lasix) may be withheld and potassium supplement should be administered as prescribed and may even be increased after talking with the physician. The client may also be instructed on foods high in potassium. These are all appropriate interventions but not the priority.
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