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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
washing the affected area with soap and water before applying the cream remove any debris that may interfere with absorption of the drug allowing for optimal concentration for clearance of the infection.
A. Increasing fluid intake is not specifically related to the use of gentamicin topical cream.
C. Topical gentamicin cream does not have adverse effects associated with systemic formulations hence no reported blurred vision
D. Application is only recommended for affected areas.
Correct Answer is A
Explanation
flank pain is a typical symptom of urolithiasis (renal or ureteric). The presence of a stone in the urinary tract stretches the tract leading to pain. Calcium supplementation increases the risk of calcium stone formation in the urinary tract.
B. calcium supplements do not cause hepatitis
C. Calcium supplementation do not cause peptic ulcers
D. Calcium stones have been implicated in pancreatic but this presents with epigastric pain
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