A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?

Check the infusion site at least every 4 hr.

Start the infusion at 30 mEq/hr.

Assess the client for a positive Chvostek sign.

Monitor the client for adequate urine output.

Answer and Explanation

The Correct Answer is D

Monitor the client for adequate urine output.
When administering potassium chloride via IV infusion to a client who has severe hypokalemia, it is important for the nurse to monitor the client’s urine output to ensure that their kidneys are functioning properly and that they are able to excrete excess potassium.
Choice A is incorrect because the infusion site should be checked more frequently than every 4 hours.
Choice B is incorrect because the maximum recommended rate of infusion for potassium chloride is 10 mEq/hr.
Choice C is incorrect because Chvostek’s sign is used to assess for hypocalcemia, not hypokalemia.

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Correct Answer is C

Explanation

This statement indicates an understanding of the teaching because shaking the inhaler helps to mix the medicine inside the canister.

Choice A is incorrect because it is not necessary to clean the cap of the inhaler once per week.
Instead, it is important to clean the inhaler at least once a week or as directed.
Choice B is incorrect because one should inhale the medication slowly, not quickly.
Choice D is incorrect because one should wait 1 minute between puffs, not 15 seconds.

A. Encourage the client to change positions slowly. B. Perform range-of-motion exercises to the client's neck every 4 hours. C. Administer aspirin if the client reports a headache. D. Limit the client's fluid intake to 1,500 mL per day.

Correct Answer is A

Explanation

This can help prevent dizziness and loss of balance, which are common symptoms of Ménière’s disease.
Choice B is not correct because range-of-motion exercises to the client’s neck every 4 hours are not a standard intervention for Ménière’s disease.
Choice C is not correct because aspirin is not always the recommended medication for headaches associated with Ménière’s disease.
Choice D is not correct because limiting fluid intake is not a standard intervention for Ménière’s disease.

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A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?

Nursing Test Bank

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