A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?
The client should be treated by giving potassium by IV bolus.
Another formulation of potassium should be given IV.
Potassium chloride should be diluted in dextrose 5% in water.
The potassium infusion rate is too rapid.
The Correct Answer is D
Choice A rationale:
IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.
Choice B rationale:
The formulation of potassium (potassium chloride) is appropriate for IV administration.
Choice C rationale:
Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.
Choice D rationale:
The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Slowing the infusion rate would not address the issue of infiltration.
Choice B rationale:
Flushing the IV catheter would not be effective in managing fluid infiltration.
Choice C rationale:
Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.
Choice D rationale:
Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.
Correct Answer is D
Explanation
Choice A rationale:
Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.
Choice B rationale:
A dry cough is a common side effect of amphotericin B, but it is not an indicator of an acute infusion reaction.
Choice C rationale:
Pedal edema is not a typical sign of an acute infusion reaction to amphotericin B.
Choice D rationale:
Fever, along with other symptoms like chills, fever, nausea, and vomiting, can be indicative of an acute infusion reaction to amphotericin B. It may require stopping the infusion and providing appropriate treatment.
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