The physician orders potassium chloride (KCL) intravenous (IV) for the patient. The nurse administers this drug intravenous (IV) push. What will be the most likely outcome for this patient?
1. The patient will most likely experience cardiac arrest.
2. The patient will not experience adverse effects if the push was given slowly.
3. The patient will most likely experience tissue necrosis at the injection site.
4. The patient will most likely experience renal failure.
Correct Answer: 1
Rationale: Potassium chloride (KCL) must never be administered intravenous (IV) push, as bolus injections can overload the heart and cause cardiac arrest. Potassium chloride must never be administered via intravenous (IV) push, even if slowly, as cardiac arrest may result. Cardiac failure, not renal failure, is the most likely outcome of administering potassium chloride intravenous (IV) push. Although tissue necrosis may occur, this is not the primary concern.
You might also like to view...
The nurse is caring for a client who is ordered Hyperstat IV to decrease blood pressure. Which nursing consideration is a priority?
A) Elevate the head of the bed. B) Use an automatic blood pressure recording machine. C) Place a Foley catheter to monitor urine output. D) Assess the client's deep tendon reflex.
A client, paralyzed from the neck down, is constantly criticizing the nurses who can do nothing to please her. What is the most appropriate nursing diagnosis for this client?
a. Ineffective individual coping b. Anxiety c. Powerlessness d. Altered role performance
The nurse is collecting data about a new patient's fluid and electrolyte balance during an initial comprehensive assessment. Which of the following are possible indicators of fluid and electrolyte imbalances? Select all that apply
A) Poor skin turgor B) Decreased heart rate C) Hunger D) Changes in respiratory pattern E) Equal intake and output F) Changes in urine volume
The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that:
a. This growth chart should not be used. b. Growth patterns of African-American children are the same as for all other ethnic groups. c. A correction factor is necessary when the NCHS growth chart is used for non-Caucasian ethnic groups. d. The NCHS charts are accurate for U.S. African-American children.