A nurse is assessing a client with end-stage kidney disease…
A nurse is assessing a client with end-stage kidney disease (ESKD) who missed their last two hemodialysis sessions. The client has gained 5 kg (11 lb.) in the past week and present with severe dyspnea, crackles in all lung fields, and 3+pitting edema. The morning laboratory results are as followings: potassium: 6.8 mEq/dL, BUN: 90 mg/dL, creatinine: 19.2 mg/dL, pH: 7.20, HCO3 (bicarbonate): 15 mEq/L. Which prescription should the nurse implement first?