A nurse is providing teaching to a client who is receiving intermittent parenteral potassium chloride. Which of the following conditions should the nurse recognize as an indication for this medication?
Seizures
Kidney transplant
Arrythmia
Endocarditis
The Correct Answer is C
A. Seizures: Seizures are not an indication for potassium chloride administration. While severe electrolyte imbalances can contribute to seizures, potassium replacement is specifically indicated for low potassium levels rather than seizure management.
B. Kidney transplant: Kidney transplant patients may require careful electrolyte monitoring, but potassium chloride is not automatically indicated unless hypokalemia is present. Administration is based on lab values, not transplant status alone.
C. Arrhythmia: Hypokalemia can cause cardiac arrhythmias due to altered myocardial excitability. Potassium chloride is administered to correct low potassium levels and help prevent or treat arrhythmias.
D. Endocarditis: Endocarditis is an infection of the heart valves and is treated with antibiotics. Potassium chloride does not play a role in treating bacterial infections or inflammation of the heart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I have vomited several times.": Vomiting can be a side effect of penicillin, but it is usually manageable and not immediately life-threatening unless severe dehydration occurs.
B. "I am having diarrhea.": Mild diarrhea is a common side effect of antibiotics. It is important to monitor for signs of C. difficile infection, but occasional loose stools are not immediately critical.
C. "I am having trouble swallowing.": Difficulty swallowing may indicate oropharyngeal edema, which can be a sign of a severe allergic reaction to penicillin. This requires immediate attention as it can progress to airway obstruction.
D. "My skin feels itchy all over.": Generalized itching may indicate a mild allergic reaction. While it should be monitored, it is less urgent than symptoms suggesting airway compromise.
Correct Answer is C
Explanation
A. Temperature: Nifedipine does not directly affect body temperature, so assessing temperature is not critical prior to administration.
B. Respiratory rate: While monitoring respiratory status is important in general, nifedipine primarily affects the cardiovascular system, so respiratory rate is not the primary assessment focus.
C. Blood pressure: Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing vascular smooth muscle. Assessing blood pressure before administration ensures the client is not hypotensive and helps prevent adverse cardiovascular effects.
D. Oxygen saturation: Oxygen saturation is not directly impacted by nifedipine, so it is not essential to assess this parameter prior to giving the medication.
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