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
The normal appearance of regular insulin should be clear and colorless. Cloudy appearance or presence of particles indicates that the insulin has precipitated and may not be effective.
B. NPH insulin should be gently rolled between the palms to mix it but not shaken as this can lead to foaming and inaccuracy of the dose.
C. Injecting air into regular insulin first is not necessary. This step is typically done when drawing up NPH insulin to prevent the formation of air bubbles in the vial.
D. Regular insulin should be drawn up first to prevent contamination with the intermediate acting form of insulin
Correct Answer is C
Explanation
Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.
A. Bradycardia is a cholinergic effect
B and D are not typical anticholinergic effects
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