A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?

Call the lab to verify the client's results.

Call the prescribing physician and inform her of the client's serum potassium level results.

Give the ordered KCL as prescribed.

Omit the KCL dose and document it was not given.

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

Explanation

A. Decreased urine specific gravity:In fluid volume deficit, urine becomes more concentrated due to decreased kidney perfusion and water conservation by the body. This results in an increased urine specific gravity.

B. Decreased Hgb:Fluid volume deficit typically leads to hemoconcentration because there is less plasma volume, which makes hemoglobin and hematocrit levels appear elevated.

C. Increased urine ketones:While increased urine ketones may occur in dehydration associated with starvation or diabetic ketoacidosis (DKA), it is not a hallmark finding in general fluid volume deficit. The presence of ketones depends on the underlying cause, not on fluid volume status alone.

D. Increased BUN:Blood urea nitrogen (BUN) increases in fluid volume deficit because of hemoconcentration and reduced kidney perfusion, which slows the excretion of urea. The ratio of BUN to creatinine is often elevated in dehydration (>20:1).

A. Crackles upon auscultation B. Bounding pulse C. Pitting edema D. Swelling at the IV site E. Urine-specific gravity greater than 1.030

Correct Answer is ["A","B","C"]

No explanation

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A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?

Nursing Test Bank

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