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.
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Related Questions
Correct Answer is D
Explanation
A. Regular use of a laxative: Regular use of laxatives is not recommended during pregnancy as it can lead to dependence and potentially harm the mother and fetus.
B. Maintenance of good posture: While good posture is beneficial, it does not specifically address constipation.
C. Regular use of glycerine suppositories: This should not be the first line of treatment; dietary changes are preferable.
D. Increased cellulose and fluid in the diet: Increasing dietary fiber (cellulose) and fluid intake is the safest and most effective way to manage constipation during pregnancy.
Correct Answer is D
Explanation
A. Increased salivation: Hypernatremia often causes dry mouth and decreased salivation.
B. Cool, clammy skin: Hypernatremia does not typically cause cool, clammy skin; this is more associated with hypovolemia.
C. Hypertension: While hypertension can occur, it is not as specific as decreased level of consciousness.
D. Decreased level of consciousness: Severe hypernatremia can lead to neurological changes, including decreased level of consciousness. Excess sodium draws water out of cells, leading to dehydration inside the cells, especially in the brain. Decreased brain cell function due to dehydration can manifest as confusion, lethargy, and potentially a decreased level of consciousness in severe cases (coma).
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