A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

Ensure that the client's urine output is at least 1 mL/kg/hour.

Educate the client regarding high-potassium food sources.

Cardiac monitoring during infusion.

Repeat blood serum potassium.

Ensure potassium infusion is prepared with 5% dextrose solution.

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: Ensuring the client's urine output is at least 1 mL/kg/hour is important before administering potassium to prevent hyperkalemia, especially in clients with renal impairment.

Choice B reason: While educating the client about high-potassium food sources is important, it is not directly related to the administration of intravenous potassium.

Choice C reason: Cardiac monitoring during infusion is crucial due to the risk of arrhythmias associated with rapid

changes in potassium levels.

Choice D reason: Repeating blood serum potassium is necessary to monitor the effectiveness of the supplementation and avoid hyperkalemia.

Choice E reason: Potassium should not be prepared with 5% dextrose solution as it may cause a trans-cellular shift of potassium into cells, which is not recommended.

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Correct Answer is A

Explanation

Choice A reason: Clients with nephrotic syndrome are usually advised to decrease sodium intake to manage edema, not increase it.

Choice B reason: A kidney biopsy may be prescribed to determine the cause of nephrotic syndrome, so this statement does not indicate a need for further teaching.

Choice C reason: Swelling, particularly in the face, is a common symptom of nephrotic syndrome due to fluid retention.

Choice D reason: Losing protein in the urine is a hallmark of nephrotic syndrome, so this statement is accurate.

A. "If you take too many showers, you are more susceptible to getting a UTI because you are washing o? the protective bacteria." B. "As a female, you have a shorter urethra, creating an easier way for bacteria to invade your bladder." C. "As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra." D. "At your age, you have more sexual intercourse than older females, making you more likely to get a UTI."

Correct Answer is B

Explanation

Choice A reason: Taking too many showers does not increase susceptibility to UTIs by washing o? protective bacteria. This is a misconception.

Choice B reason: Females do have a shorter urethra than males, which makes it easier for bacteria to reach the bladder and cause infections.

Choice C reason: While E. coli is a common bacteria causing UTIs, stating that females have more E. coli is incorrect and not a reason for increased UTIs.

Choice D reason: Sexual activity can increase the risk of UTIs, but it is not appropriate to assume that the client's age correlates with increased sexual activity.

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A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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