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 B
Explanation
Ibuprofen is a non-selective nonsteroidal anti-inflammatory drug (NSAID) used to manage pain and inflammation. It prevents the synthesis of protective prostaglandins in the stomach leading to gastric irritation and ulceration. Taking ibuprofen with food reduces the risk of gastrointestinal irritation.
A. Ibuprofen does not cause weight loss
C. Ear ringing is not an expected side effect and any occurrence of such should be reported
D. Ibuprofen is stable at room temperature and does not require refrigeration
Correct Answer is D
Explanation
The Z-track technique is an intramuscular injection technique used to prevent leakage to medication into the subcutaneous site after injection. It involves;
- pulling the skin and subculture tissue about one inch away from the muscle
- Insert the needle at 90 degrees
- Needle inserted quickly and deeply
- Remove the needle then release the skin
- Do not massage or aspirate
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