A client is hypokalemic and the physician leaves an order for the nurse to infuse a bolus of 30 mEq of potassium in 100 ml of NS over 30 minutes. The most appropriate action by the nurse is to
a. administer the potassium as ordered.
b. clarify the order with the physician.
c. order an infusion pump to give the potassium.
d. request the pharmacy send 250 ml of saline instead.
B
For severe potassium deficits, 10 to 20 mEq of KCl can be given every hour if diluted in IV fluids; a cardiac monitor must be used to ensure safety. IV potassium cannot be given by the IV push route.
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