A nurse is caring for a client with severe hypokalemia. The provider places an order for IV potassium chloride (KCI) 60 mEq x1 now. Which action should the nurse take when caring for this client?

Discontinue cardiac monitoring during the infusion.

Administer KCI as a rapid IV bolus.

Only give the KCI via a central venous line.

Infuse the KCI at a rate of 10 mEq/hour.

Answer and Explanation

The Correct Answer is C

A) Discontinue cardiac monitoring during the infusion:

Discontinuing cardiac monitoring during the infusion of potassium chloride is unsafe. Potassium infusions can significantly impact cardiac function, so continuous cardiac monitoring is necessary to detect any arrhythmias or other complications.

B) Administer KCI as a rapid IV bolus:

Administering potassium chloride as a rapid IV bolus is contraindicated due to the risk of severe adverse effects, including cardiac arrest. Potassium should be infused slowly to avoid complications.

C) Only give the KCI via a central venous line:

Potassium chloride is ideally administered through a central venous line because it is irritating to veins and can cause damage if given through a peripheral line. A central line reduces the risk of irritation and allows for safer infusion of potassium.

D) Infuse the KCI at a rate of 10 mEq/hour:

Infusing potassium chloride at a rate of 10 mEq/hour is generally too slow for an emergency situation requiring immediate correction of severe hypokalemia. For more urgent cases, higher rates may be required, but only under strict medical supervision to avoid complications.

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Correct Answer is B

Explanation

A) "Your daily intake of fats should be limited to no more than 35% of your daily caloric intake":

Current dietary guidelines typically recommend limiting fat intake to less than 30% of total daily calories, not 35%, for optimal heart health. This recommendation is slightly higher than what is generally advised for managing high cholesterol.

B) "You should avoid trans-fat as much as possible":

Trans fats significantly increase LDL cholesterol (bad cholesterol) levels and decrease HDL cholesterol (good cholesterol). Avoiding trans fats is crucial in managing high cholesterol and reducing cardiovascular risk, making this the most important recommendation.

C) "Your main sources of protein should be red meat":

Red meat, particularly processed red meat, is associated with higher cholesterol levels and cardiovascular risk. It is generally recommended to choose lean proteins, such as fish, poultry, and plant-based sources, over red meat.

D) "Fats provide the highest amount of energy per gram":

While fats do provide more energy per gram than carbohydrates or proteins, this statement does not directly address the management of cholesterol levels. The focus should be on the type of fats consumed rather than their energy content.

E) "Your intake of fats should be unsaturated fats":

While consuming unsaturated fats is beneficial, avoiding trans fats specifically addresses a more immediate concern for those with high cholesterol. Option B emphasizes the importance of eliminating harmful fats.

A. The client's daily calorie intake B. The client's waist circumference C. The client's height D. The client's skinfold thickness

Correct Answer is C

Explanation

A) The client's daily calorie intake: While daily calorie intake is important for understanding a client's nutritional needs and managing their diet, it is not required for calculating BMI. BMI calculation focuses on weight and height rather than caloric intake.

B) The client's waist circumference: Waist circumference is useful for assessing abdominal fat distribution and risk of obesity-related conditions, but it is not needed for calculating BMI. BMI calculation requires height and weight, not waist measurements.

C) The client's height: To calculate BMI, the client's height is essential. BMI is determined by dividing weight in kilograms by the square of height in meters (kg/m²). Accurate height measurement is crucial for this calculation.

D) The client's skinfold thickness: Skinfold thickness measurements are used to estimate body fat percentage but are not required for calculating BMI. BMI relies solely on weight and height, not body fat estimates.

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﻿A nurse is caring for a client with severe hypokalemia. The provider places an order for IV potassium chloride (KCI) 60 mEq x1 now. Which action should the nurse take when caring for this client?

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A nurse is caring for a client with severe hypokalemia. The provider places an order for IV potassium chloride (KCI) 60 mEq x1 now. Which action should the nurse take when caring for this client?