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?
Another formulation of potassium should be given IV.
Potassium chloride should be diluted in dextrose 5% in water.
The client should be treated by giving potassium by IV bolus.
The potassium infusion rate is too rapid.
The Correct Answer is D
A. Another formulation of potassium should be given IV: The type of potassium formulation isn't the issue in this scenario.
B. Potassium chloride should be diluted in dextrose 5% in water: While potassium chloride can be administered in different solutions, the primary concern here is the infusion rate, not the specific diluent.
C. The client should be treated by giving potassium by IV bolus: The concern here is the rate of administration, not the route. Potassium is commonly administered through an IV infusion rather than a bolus due to the risk of cardiac arrhythmias associated with rapid administration.
D. A nurse is caring for a client who is to receive potassium replacement. The nurse should clarify the prescription with the provider because the potassium infusion rate is too rapid.
The prescription indicates that the client should receive potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 minutes. This rate of administration is too fast for potassium replacement and could lead to potentially serious complications, such as hyperkalemia or cardiac arrhythmias. The typical recommended rate for potassium replacement is 10-20 mEq/hour, and this prescription exceeds that range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Notify your provider if you develop a fever while taking this medication."
Clozapine is an antipsychotic medication used to treat severe mental illnesses like schizophrenia. One of the potentially serious side effects of clozapine is agranulocytosis, which is a significant drop in white blood cell count. This can lead to an increased risk of infection. If the client develops a fever, it could be an early sign of an infection due to the lowered white blood cell count, so it's important for them to notify their provider promptly.
B. "Ringing in the ears is an expected adverse effect of this medication." - Tinnitus (ringing in the ears) is not a commonly reported adverse effect of clozapine.
C. "You might experience weight loss while taking this medication." - Weight gain is actually more commonly associated with clozapine use, rather than weight loss.
D. "Diarrhea is a common adverse effect of this medication." - While gastrointestinal disturbances can occur as side effects of antipsychotic medications, diarrhea is not specifically known as a common adverse effect of clozapine.
Correct Answer is A
Explanation
A. Drowsiness:
Correct Answer: This adverse effect is important for the client to monitor for when taking paroxetine.
Explanation: Paroxetine is an antidepressant medication classified as a selective serotonin reuptake inhibitor (SSRI). Drowsiness or sedation can be a common side effect of paroxetine and other SSRIs. The client should be advised to monitor their response to the medication and report excessive drowsiness to their healthcare provider.
B. Peripheral edema:
Incorrect Explanation: Peripheral edema is not a typical adverse effect of paroxetine.
Explanation: Peripheral edema is not a common side effect associated with paroxetine use. It's important to monitor for adverse effects, but this specific symptom is not usually associated with this medication.
C. Tinnitus:
Incorrect Explanation: Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.
Explanation: Tinnitus is not a typical side effect of paroxetine. It's important for the client to report any new or unusual symptoms, but tinnitus is not one of the more common adverse effects of this medication.
D. Alopecia:
Incorrect Explanation: Alopecia (hair loss) is not commonly associated with paroxetine use.
Explanation: Alopecia is not a typical side effect of paroxetine. While hair loss can occur with certain medications, it is not a common concern with paroxetine.
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