A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?.
Inform the provider of the client's potassium level.
Hold the medication until the client has his evening meal.
Give the medication as prescribed.
Obtain a prescription to increase the dosage of the medication.
The Correct Answer is A
Choice A rationale:
The client’s potassium level is high (normal range is 3.6 to 5.2 mEq/L123), so the nurse should inform the provider before administering more potassium.
Choice B rationale:
Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.
Choice C rationale:
Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.
Choice D rationale:
Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Serum cholesterol is not directly affected by furosemide, a loop diuretic.
Choice B rationale:
Serum amylase is not directly affected by furosemide.
Choice C rationale:
Furosemide can cause hypokalemia (low potassium levels), so it’s important to monitor serum potassium levels in clients taking this medication. Normal serum potassium levels are 3.5-5.0 mEq/L.
Choice D rationale:
Serum triglyceride is not directly affected by furosemide.
Correct Answer is A
Explanation
Choice A rationale:
The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
Choice B rationale:
Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice C rationale:
Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice D rationale:
Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
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