The correct answer is option A
The correct administration and effect of Kayexalate is that the enema should be retain for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea.
Sodium polystyrene sulfonate (kayexalate) is a cation exchange resin; it is used to treat high levels of potassium level in the blood.
It removes potassium by exchanging sodium ions for potassium in the intestine. The sorbitol present in kayexalate causes diarrhea. The diarrhea is necessary to further increase potassium loss and also decrease the rate of retention of kayexalate.
It should be used for about 30 minutes. The resin is not a glucose exchange but a sodium exchanger.
Retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea.-rationale: kayexalate is a sodium-exchange resin. thus, the client will gain sodium as potassium is lost in the bowel. for the exchange to occur, kayexalate must be in contact with the bowel for at least 30 minutes. sorbitol in the kayexalate enema causes diarrhea, which increases potassium loss and decreases the potential for kayexalate retention. client needs category: physiological integrity client needs subcategory: pharmacological and parenteral therapies cognitive level: comprehension reference: springhouse nurses drug guide 2007.philadelphia: lippincott williams & wilkins, 2007, p. 1163.
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