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.
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Related Questions
Correct Answer is C
Explanation
Prednisone is a corticosteroid that can suppress the body's immune system increasing the client's susceptibility to infections such as upper respiratory tract infections. Flu vaccine is, therefore, important to boost immunity
A. Aspirin and Prednisone increases the risk of gastrointestinal irritation and ulceration and use together increases this risk even further.
B. Although hypokalemia is a common electrolyte abnormality observed with hypokalemia, eating more bananas is unlikely to address the issue
D. Getting a sore throat can happen due to lowered immunity but does not always happen
Correct Answer is A
Explanation
Following traumatic brain injury, the cerebral tissues undergoes an inflammatory process in response to the trauma leading to brain edema. This increases intracranial pressure which presents with features such as seizures, headaches and other focal neurological deficits. Mannitol is an osmotic diuretic that works by drawing water out of brain tissue and into the bloodstream, thereby reducing cerebral edema and intracranial pressure.
B, C, D have no role in raised intracranial pressure
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