A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

Hold the medication until the client has his evening meal.

Inform the provider of the client's potassium level.

Obtain a prescription to increase the dosage of the medication.

Give the medication as prescribed.

Answer and Explanation

The Correct Answer is B

A. Hold the medication until the client has his evening meal: Holding the medication for this reason is inappropriate because the issue is the elevated potassium level, not the timing with meals.
B. Inform the provider of the client's potassium level: Correct. A potassium level of 5.8 mEq/L is elevated (hyperkalemia), and the provider should be informed immediately before administering any more potassium.
C. Obtain a prescription to increase the dosage of the medication: Increasing the dosage would be dangerous given the elevated potassium level.
D. Give the medication as prescribed: Administering potassium chloride with a high potassium level is unsafe and could exacerbate the hyperkalemia.

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Correct Answer is D

Explanation

A. Explain the procedure to the client: While explaining the procedure is important, it does not directly address the client's privacy concerns.
B. Obtain assistance so the client does not become resistant to the procedure: Obtaining assistance may help with the procedure but does not address the client's privacy concerns and might increase their anxiety.
C. Gather the equipment necessary before starting the procedure: Gathering equipment is important for preparedness but does not directly address privacy concerns.
D. Close the door and cover the client during the procedure: Closing the door and covering the client directly addresses privacy concerns and helps the client feel more comfortable and secure.

A. Discontinue the TPN infusion. B. Administer glucagon IM. C. Check the client for a positive Chvostek's sign. D. Request a potassium replacement.

Correct Answer is D

Explanation

A. Discontinue the TPN infusion: Discontinuing TPN is not appropriate unless specifically indicated by a healthcare provider.
B. Administer glucagon IM: Glucagon is used for severe hypoglycemia, not for low potassium.
C. Check the client for a positive Chvostek's sign: Chvostek's sign is associated with hypocalcemia, not hypokalemia.
D. Request a potassium replacement: The client's potassium level is low (3.0 mEq/L), so potassium replacement is necessary.

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A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the client's concern?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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