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.While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.

B.While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.

C.While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.

D.Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.

A. Administering a potassium-sparing diuretic. B. Administering sodium polystyrene sulfonate. C. Initiating an IV potassium infusion. D. Encouraging the client to eat bananas.

Correct Answer is B

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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