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 B

Explanation

Beyond the expiration date drugs should be discarded as the efficacy and safety of the medication cannot be guaranteed. Using expired medication can lead to reduced effectiveness or even potential harm to the client.

A. Returning the medication to the pharmacy may not be feasible, as the medication is expired and should not be used. The proper course of action is to discard it.

C. Notifying the provider is unnecessary in this situation.

D. Using expired medication can compromise client safety and is not in accordance with best practice guidelines.

A. Instruct the client to use an electric toothbrush. B. Check the value of the client’s current platelet count. C. Have the client make an appointment to see the dentist. D. Explain to the client that this is an expected adverse effect.

Correct Answer is B

Explanation

Methotrexate is immunomodulatory that inhibits DNA synthesis and repair but blocking the metabolism of DNA building blocks. In addition to it disease modifying effects on targeted tissues, it also affects rapidly dividing cells such as the bone marrow leading to reduced platelets that causes bleeding. Information on number of platelets is important to guide the next action

A-Electric brush will worsen the bleeding

C-This is important but not priority as the bleeding is likely related to the medication

D- Explaining is important but does not address the issue at hand

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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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