A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

Expect urinary output to decrease while on this medication

Take the extended release tablets whole.

Take the extended release tablets on an empty stomach.

Add an antacid if the medication causes indigestion.

Answer and Explanation

The Correct Answer is B

Extended release potassium chloride tablets should be taken whole to avoid rapid release of the potassium which may lead to hyperkalemia and GI irritation.

A. Diuretic therapy increases urine output through reduction of water reabsorption. Potassium supplementation does not interfere with its action.

C. Taking potassium chloride with food or after meals is recommended to reduce the risk of gastrointestinal irritation or discomfort.

D. Antacids interfere with the absorption of potassium chloride leading to inadequate supplementation.

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Correct Answer is C

Explanation

Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.

Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately

A, B, D- furosemide has no effect on cortisol, albumin and bicarbonate.

A. “The naproxen is easier to take when I crush it and put it in apple sauce” B. "I've been taking an antacid to help with indigestion." C. "I've lost 2 pounds since my appointment 2 weeks ago." D. "1 signed up for a swimming class."

Correct Answer is A

Explanation

Crushing or breaking naproxen tablets can alter their pharmacokinetics and pharmacodynamics leading to an increased risk of gastrointestinal side effects or reduced

effectiveness of the medication. The tablet should therefore be taken whole.

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A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

Nursing Test Bank

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