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 D

Explanation

A) Speech Therapist: A speech therapist typically works with clients who have communication or swallowing disorders. While they may be involved in assessing and managing difficulties with swallowing, they are not the primary professionals for addressing issues related to hand function or fine motor skills, which are crucial for self-feeding in clients with rheumatoid arthritis.

B) Registered Dietician: A registered dietician is responsible for assessing and planning nutritional needs, which may include recommending dietary modifications for overall health and well-being. However, they do not specifically address the mechanical or functional aspects of eating, such as difficulties due to pain and hand deformities in rheumatoid arthritis.

C) Physical Therapist: Physical therapists focus on improving gross motor function, mobility, and physical strength. While they may help with general mobility and exercise plans to reduce pain and improve joint function, they are not specialists in the fine motor skills and adaptive strategies needed for activities of daily living, such as self-feeding.

D) Occupational Therapist: Occupational therapists specialize in helping clients regain and improve their ability to perform daily activities, particularly those involving fine motor skills. They are well-suited to address issues like pain management, joint protection techniques, and the use of adaptive equipment for self-feeding in clients with rheumatoid arthritis. They work on enhancing the client’s functional independence despite physical limitations.

A. Cooked carrots B. Cheddar cheese C. baked potato D. 29% milk

Correct Answer is C

Explanation

A) Cooked carrots: While cooked carrots do contain some potassium, they are not as rich in potassium as other foods. They are a good source of vitamins and nutrients, but not the most effective option for replenishing potassium levels.

B) Cheddar cheese: Cheese generally contains minimal potassium compared to other foods. It is a good source of calcium and protein, but it is not a significant source of potassium. Individuals on loop diuretics like furosemide, which can cause potassium loss, need to consume foods higher in potassium.

C) Baked potato: Baked potatoes are an excellent source of potassium. A medium-sized baked potato with the skin can provide a significant amount of potassium, which is essential for maintaining normal heart function and muscle contraction. This makes it an ideal food choice for clients on diuretics like furosemide, which can deplete potassium levels.

D) 2% milk: While milk contains potassium, it is not as high in potassium as other foods, like fruits and vegetables. Although it can contribute to daily potassium intake, it is not the most potent source for clients needing to increase their potassium levels due to diuretic use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with rheumatoid arthritis. The client is having difficulty with self-feeding due to the pain and hand deformities. The nurse would anticipate a referral will be made to which member of the interprofessional team?

Correct Answer is D

Explanation

A nurse is providing dietary teaching for a client who takes furosemide (Lasix), a loop diuretic. The nurse should recommend which of the food is a great source of potassium?

Correct Answer is C

Explanation

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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?