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
The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.
A. Just documenting does not address the client’s issues and shows lack of empathy
C. Explaining is important but the reason for refusal could be something else
D. The nurse should not use any reason to try and force the client to take the medications
Correct Answer is A
Explanation
Insulin glargine is a long acting insulin that has a long duration of action. This allows it to be used as a basal insulin to mimic the body's basal insulin release.
Rapid acting insulins have a duration of effect of 3-6 hours. They are used as premeals doses to provide additional insulin due to glucose peaks after meals.
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