medium · NCLEX-RN Basic Care and Comfort

A client with a new ileostomy reports generalized weakness and muscle cramps. The lab report shows K^+ = 3.2 mEq/L (Reference range: 3.5 to 5.0 mEq/L).

Which nursing action is the safest first response?

  1. Assess the client's current cardiac rhythm and most recent total output
  2. Administer a potassium-sparing diuretic as a maintenance medication.
  3. Encourage the client to drink a large volume of sugar-free lemonade.
  4. Advise the client to increase dietary fiber to thicken the output

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