A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?

Another formulation of potassium should be given IV.

Potassium chloride should be diluted in dextrose 5% in water.

The client should be treated by giving potassium by IV bolus.

The potassium infusion rate is too rapid.

Answer and Explanation

The Correct Answer is D

A. Another formulation of potassium should be given IV: The type of potassium formulation isn't the issue in this scenario.

B. Potassium chloride should be diluted in dextrose 5% in water: While potassium chloride can be administered in different solutions, the primary concern here is the infusion rate, not the specific diluent.

C. The client should be treated by giving potassium by IV bolus: The concern here is the rate of administration, not the route. Potassium is commonly administered through an IV infusion rather than a bolus due to the risk of cardiac arrhythmias associated with rapid administration.

D. A nurse is caring for a client who is to receive potassium replacement. The nurse should clarify the prescription with the provider because the potassium infusion rate is too rapid.

The prescription indicates that the client should receive potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 minutes. This rate of administration is too fast for potassium replacement and could lead to potentially serious complications, such as hyperkalemia or cardiac arrhythmias. The typical recommended rate for potassium replacement is 10-20 mEq/hour, and this prescription exceeds that range.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. "I should stay upright for at least 15 minutes after taking this medication.": This advice is usually given with medications like bisphosphonates to prevent esophageal irritation. It is not necessary for ferrous gluconate.
B. "I should take this medication with 8 ounces of milk.": Iron supplements should not be taken with milk or other dairy products because they can interfere with iron absorption.
C. "I should take an antacid with this medication to prevent stomach upset.": Antacids can also interfere with iron absorption and should be taken separately from iron supplements.
D. "I should notify my provider if my stools turn black."
Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. One common side effect of iron supplementation is the darkening of stools, often to a black color. This is not harmful but is important for the client to be aware of. It is due to the reaction of iron with the acids and enzymes in the gastrointestinal tract.

A. Morphine 6 mg IV push every 3 hr PRN acute pain B. Morphine 6.0 mg IV push every 3 hr PRN acute pain C. MS 6 mg IV push every 3 hr PRN acute pain D. MSO4 6 mg IV push every 3 hr PRN acute pain

Correct Answer is A

Explanation

A. Morphine 6 mg IV push every 3 hr PRN acute pain:
This choice is correct. It accurately transcribes the medication name (morphine), the dosage (6 mg), the route (IV push), the frequency (every 3 hours), and the indication (PRN for acute pain).
B. Morphine 6.0 mg IV push every 3 hr PRN acute pain:
This choice is not incorrect, but it is unnecessary to include the trailing zero in the dosage (6.0 mg). Both "6" and "6.0" indicate the same value, and omitting the decimal point is common practice in medication dosages.
C. MS 6 mg IV push every 3 hr PRN acute pain:
This choice is incorrect. "MS" is an abbreviation for "morphine sulfate," but it's not widely used in modern healthcare settings. Using the full name "morphine" is clearer and less prone to confusion.
D. MSO4 6 mg IV push every 3 hr PRN acute pain:
This choice is incorrect. "MSO4" is the chemical symbol for morphine sulfate. While it's a valid abbreviation, it's not as commonly used as the full name "morphine." Using the full name of the medication is clearer and more familiar to healthcare professionals.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record?

Correct Answer is A

Explanation

A nurse is caring for a client who is taking sertraline and reports desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid?

A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

A nurse is preparing to administer an amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

A nurse mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?

A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?