A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?
Hold the medication until the client has his evening meal.
Inform the provider of the client's potassium level.
Obtain a prescription to increase the dosage of the medication.
Give the medication as prescribed.
The Correct Answer is B
A. Hold the medication until the client has his evening meal: Holding the medication for this reason is inappropriate because the issue is the elevated potassium level, not the timing with meals.
B. Inform the provider of the client's potassium level: Correct. A potassium level of 5.8 mEq/L is elevated (hyperkalemia), and the provider should be informed immediately before administering any more potassium.
C. Obtain a prescription to increase the dosage of the medication: Increasing the dosage would be dangerous given the elevated potassium level.
D. Give the medication as prescribed: Administering potassium chloride with a high potassium level is unsafe and could exacerbate the hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Temporary urinary retention: After removal of an indwelling catheter, especially in older adults, temporary urinary retention can occur due to decreased bladder tone or urethral irritation.
B. Blood-tinged urine: This is not an expected outcome; it could indicate trauma or infection and should be evaluated.
C. Urinary frequency for several days: While increased frequency might occur immediately after catheter removal, it is not typically expected to last for several days.
D. Highly concentrated urine: Urine concentration would depend on the client's hydration status rather than the removal of the catheter.
Correct Answer is B
Explanation
A. Use sterile water to inflate the balloon: There is no balloon in a straight catheterization; this applies to indwelling catheters.
B. Use a sterile specimen container: A sterile specimen container ensures that the sample is not contaminated.
C. Instruct the client to clean from front to back with an antiseptic solution: This is relevant to midstream urine collection but not for straight catheterization.
D. Collect urine from the catheter's port. In straight catheterization, urine is collected directly as it exits the catheter, not from a port.
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