The nurse places a call to the provider that the 74-year-old patient’s potassium level is 7.1 mEq/dL. The nurse is prepared to answer which questions from the provider? Select all that apply.

“What is the patient’s white blood cell count?” , “What size needle was used to draw the sample?” , “How long was the tourniquet in place prior to the sample being drawn?”. Things that can cause a falsely elevated potassium level include leukocytosis and cell lysis, which can be caused by a too-small needle as well as the tourniquet being in place for an extended period of time. Potassium levels are not affected by elevated aPTT or large amounts of dark, leafy greens in the diet. Lactated ringers contains potassium, which would cause a falsely elevated potassium level if it were infusing distally (not properly) to the venipuncture site.

The nurse places a call to the provider&...

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Reduction of Risk Potential
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Category: Reduction of Risk Potential
Difficulty: 10

Topics: Communication & Documentation Fluid and Electrolytes Hematology/Oncology Nursing Interventions Acid-Base Health Care Quality Medication and Blood Products

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