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 B

Explanation

A. Decreased BUN: Fluid volume deficit typically leads to increased BUN (blood urea nitrogen) due to hemoconcentration.
B. Increased urine specific gravity: Increased urine specific gravity indicates more concentrated urine, which is a common finding in fluid volume deficit.
C. Increased urine ketones: Increased urine ketones are associated with conditions like diabetes and starvation, not specifically fluid volume deficit.
D. Decreased hematocrit: Fluid volume deficit usually results in increased hematocrit due to hemoconcentration.

A. 45 B. 75° C. 90° D. 60°

Correct Answer is C

Explanation

A. 45°: This angle is typically used for subcutaneous injections, not intramuscular injections.
B. 75°: This angle is not standard for any type of injection.
C. 90°: Correct. Intramuscular injections should be administered at a 90-degree angle to ensure the medication reaches the muscle tissue.
D. 60°: This angle is not standard for intramuscular injections.

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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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