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 ["56"]

Explanation

To calculate the infusion rate in gtt/min, we need to know the total number of drops (gtt) needed

for the entire infusion and the time it takes to complete the infusion. Given:

Ringer's lactate: 500 mL
Infusion time: 3 hours

Drop factor: 20 gtt/mL

First, let's calculate the total number of drops needed for the entire infusion: Total drops = Volume (mL) × Drop factor (gtt/mL)

Total drops = 500 mL × 20 gtt/mL Total drops = 10,000 gtt

Next, we need to determine the infusion rate in gtt/min. Since the infusion time is given in hours, we need to convert it to minutes:

Infusion time (min) = Infusion time (hours) × 60 min/hour Infusion time (min) = 3 hours × 60 min/hour

Infusion time (min) = 180 min

Now, we can calculate the infusion rate in gtt/min:

Infusion rate (gtt/min) = Total drops / Infusion time (min) Infusion rate (gtt/min) = 10,000 gtt / 180 min

Infusion rate (gtt/min) ≈ 55.6 gtt/min (Rounded off- 56 gtt/min)

A. The client who has been NPO since midnight for endoscopy. B. The client who has left-sided heart failure and has a brain natriuretic peptide (BNP) level of 600 pg/mL. C. The client who has end-stage renal failure and is scheduled for dialysis today. D. The client who has gastroenteritis and is febrile.

Correct Answer is D

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

Naxlex Comprehensive Predictor Exams

Correct Answer is ["56"]

Explanation

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