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

Isosorbide is a nitrate vasodilator used to dilate coronary vessels to relieve angina. Sildenafil also dilates peripheral vessels reducing peripheral vascular resistance. Using the two drugs together may lead to lethal drop in blood pressure and shock.
A, B, and D are not contraindicated with Sildenafil as they do not have any significant drug interactions

A. ‘Take this medication on an empty stomach’ B. ‘Expect abdominal pain with this medication’ C. 'Take the medication with a full glass of water." D. "Do not take this medication before bedtime."

Correct Answer is C

Explanation

Docusate sodium is used as a stool softener in these cases to promote bowel movements. Adequate water intake increases hydration and also works synergistically to promote bowel movements increasing its effectiveness.
A. Taking docusate on an empty stomach is not necessary. It can be taken with or without food.
B. Abdominal pain is not a common side effect of docusate. In fact, it is usually well tolerated.
D. There is no specific requirement to avoid taking docusate before bedtime. It can be taken at any time of day as directed by the healthcare provider.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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