A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?
Expect urinary output to decrease while on this medication
Take the extended release tablets whole.
Take the extended release tablets on an empty stomach.
Add an antacid if the medication causes indigestion.
The Correct Answer is B
Extended release potassium chloride tablets should be taken whole to avoid rapid release of the potassium which may lead to hyperkalemia and GI irritation.
A. Diuretic therapy increases urine output through reduction of water reabsorption. Potassium supplementation does not interfere with its action.
C. Taking potassium chloride with food or after meals is recommended to reduce the risk of gastrointestinal irritation or discomfort.
D. Antacids interfere with the absorption of potassium chloride leading to inadequate supplementation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Cefoxitin is a cephalosporin with potential cross reactivity with penicillins (amoxicillin)and hence must be avoided in known history of penicillin allergy
B. A recent history of diarrhea for 3 days is not a contraindication for the administration of cefoxitin.
C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride is not directly related to the administration of cefoxitin.
D. A serum creatinine level of 0.8 mg/dL is within the normal range
Correct Answer is B
Explanation
Liver cirrhosis interferes with the synthesis of vitamin K dependent coagulation factors leading to a prolonged prothrombin time (PT). Administration of vitamin K improves clotting function by replenishing the deficient clotting factors.
A. Heparin is an anticoagulant medication that works by inhibiting blood clotting. It can further increase the risk of bleeding.
C. Warfarin is an oral anticoagulant medication commonly used to prevent blood clots and like heparin, increases risk of bleeding.
D. Ferrous sulfate is an iron supplement used to treat iron deficiency anemia but not effect on coagulation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.