The nurse is educating nursing students on how to properly administer potassium chloride (KCL) via infusion. Which of the following statements below are true regarding KCL administration?

The antidote for KCL is regular insulin combined with dextrose.

Never push intravenous (IV) KCL.

Infusion of KCL may cause burning, extravasation, and infiltration.

IV push boluses may be administered if the client is unstable.

This medication should be given while the patient is supine.

Answer and Explanation

Correct Answer : A,B,C

Choice A reason:

Regular insulin combined with dextrose can be used to lower high potassium levels, serving as an antidote for hyperkalemia. This combination helps drive potassium back into the cells, reducing serum potassium levels.

Choice B reason:

Never pushing IV KCL is critical because it can cause fatal arrhythmias. Potassium chloride must be administered as an infusion over time to safely deliver the necessary potassium without causing cardiac complications.

Choice C reason:

Infusion of KCL can cause burning, extravasation, and infiltration at the infusion site. This is because potassium chloride is an irritant to veins, so the site should be monitored closely during administration.

Choice D reason:

IV push boluses of KCL are dangerous and contraindicated due to the high risk of causing life-threatening arrhythmias. KCL should always be infused slowly to mitigate this risk.

Choice E reason:

There is no specific requirement that KCL must be given with the patient supine. This position does not affect the administration or safety of potassium chloride infusion.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A reason:

Increased temperature is not a typical finding associated with fluid volume overload. Fluid volume overload affects the circulatory and respiratory systems primarily, and while fever can indicate infection or inflammation, it is not a direct consequence of fluid volume excess.

Choice B reason:

Increased blood pressure is a common finding in fluid volume overload due to the increased volume of blood in the circulatory system. This excess volume can lead to hypertension as the heart works harder to pump the additional fluid, making this a key indicator of fluid volume overload.

Choice C reason:

Bradycardia, or a slow heart rate, is not typically associated with fluid volume overload. In fact, fluid overload often leads to tachycardia as the heart tries to compensate for the increased volume. Bradycardia could indicate other cardiac conditions but is not a sign of fluid volume excess.

Choice D reason:

Increased hematocrit is not expected in fluid volume overload. Hematocrit measures the proportion of red blood cells in the blood, and with fluid overload, this proportion is usually diluted, leading to a lower hematocrit level rather than an increased one.

A. The client has a BMI of 40. B. The client has no intention of conceiving within the next 36 months. C. The client has a history of night sweats. D. The client is currently taking ginger.

Correct Answer is A

Explanation

Choice A reason:

A BMI of 40 indicates obesity, which can influence the effectiveness of progestin-only pills (POP) for contraception. Obesity may alter the metabolism and distribution of the hormone, potentially reducing its efficacy and increasing the risk of unintended pregnancy. This factor needs careful consideration and discussion with the healthcare provider.

Choice B reason:

Having no intention of conceiving within the next 36 months is not a contraindication for using a progestin-only pill. In fact, this aligns with the intended use of POP as a long-term contraceptive method. Therefore, it does not warrant an alert to the healthcare provider.

Choice C reason:

A history of night sweats is not specifically a contraindication for progestin-only pills. While it may be symptomatic of other underlying conditions that should be evaluated, it does not directly impact the safety or efficacy of POP for contraceptive use.

Choice D reason:

Currently taking ginger, a common supplement or dietary addition, does not interfere with the use of progestin-only pills. Ginger is not known to affect hormonal contraceptives significantly, so it is not considered a contraindication requiring provider notification.

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The nurse is educating nursing students on how to properly administer potassium chloride (KCL) via infusion. Which of the following statements below are true regarding KCL administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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