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 C
Explanation
A. Homemade hash browns 1⁄2 cup: Homemade hash browns may be lower in fat than commercially prepared versions, but they still usually involve frying in oil or butter, making them a higher-fat option compared to some others.
B. Potato salad 1⁄2 cup: Potato salad typically contains mayonnaise, which is high in fat, making it a less suitable choice for a low-fat diet.
C. Mashed potatoes 1⁄2 cup: Mashed potatoes can be made with lower-fat options like skim milk or broth instead of cream and butter. This makes them a more flexible and potentially lower-fat option if prepared correctly.
D. Ten french fries: French fries are deep-fried in oil, which makes them high in fat, even in small quantities.
Correct Answer is D
Explanation
A. Use the dominant hand to pinch the client's skin: The dominant hand is used to inject the medication, while the non-dominant hand is used to pinch the skin.
B. Don sterile gloves prior to the injection. Clean gloves, not sterile gloves, are appropriate for subcutaneous injections.
C. Inject the medication at a 15° angle to the client's skin: Subcutaneous injections are typically given at a 45° or 90° angle, not 15°.
D. Cleanse the injection site with a circular motion. This is the correct technique to ensure the injection site is clean.
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