A nurse is providing care to several post surgical client. Which prescription would the nurse question?
1. Infuse potassium chloride 40 mEq, IV push over 1 minute, once.
2. Infuse potassium chloride 40 mEq in 250 mL NaCl, over 4 hours, once.
3. Administer potassium chloride 20 mEq, by mouth, once.
4. Administer potassium chloride, 20 mEq diluted in 90 mL juice, by mouth once.
Correct Answer: 1
Rationale 1: Never give potassium as an IV push or in concentrated amounts by any route.
Rationale 2: This is an appropriate potassium order for IV infusion.
Rationale 3: Oral potassium may be administered by mouth. The client should be in a sitting or standing position to avoid esophagitis.
Rationale 4: Potassium chloride may be given in liquid forms. Dilute each 20 mEq in at least 90 mL of water or juice.
Global Rationale: Never give potassium as an IV push or in concentrated amounts by any route. All the other orders are appropriate.
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