I took an exam today and one question was like "the patient's potassium level was 6.1 (being higher than normal value) what wouold be the first action the nurse would take?" ok so, obviously I would address the hyperkalemia issue. BUT one of the options was to administer (kayxelate???) I did not choose this option rather i chose ot transfer the patient ot the ICU because i wasnt sure if the nurse could administer any drugs without an order. The transfer was wrong because it does not fix the hyperkalemia and could potentially complicate the patient's condition if it was delayed until after the transfer.
So, in cases where a patient is undergoing an electrolyte imbalance, what should a nurse do? should she telephone the physician and possibly obtain an emergency telephone order? or can nurses implement emergency care to fix the imbalance without a doctor's order?