hard · NCLEX-RN Pharmacological and Parenteral Therapies

A client is receiving 'shifting' therapy for hyperkalemia consisting of IV regular insulin and 50% dextrose.

What is the nurse's priority surveillance during and after this intervention?

  1. Measuring urine output every 4 hours and assessing for bowel sounds.
  2. Verifying the client's allergy to sulfonamides and penicillin.
  3. Serial capillary glucose monitoring and continuous ECG rhythm analysis.
  4. Assessing the client's deep tendon reflexes and respiratory rate.

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