The nurse is caring for a critically ill client who has diabetic ketoacidosis (DKA)
The nurse finds the following assessment data: blood pressure, 90/62; pulse, 120 beats/min; respirations, 28 breaths/min; urine output, 20 mL/1 hour per catheter; serum potassium, 2.6 mEq/L. The health care provider orders a 40 mEq potassium bolus and an increase in the IV flow rate. Which action by the nurse is most appropriate? a. Give the potassium after increasing the IV flow rate.
b. Increase the IV rate; consult the provider about the potassium.
c. Increase the IV rate; hold the potassium for now.
d. Infuse the potassium first before increas-ing the IV flow rate.
B
The client is acutely ill and is severely dehydrated and hypokalemic. The client requires more IV fluids and potassium. However, potassium should not be infused unless the urine output is at least 30 mL/hr. The nurse should first increase the IV rate, then consult with the provider about the potassium. The nurse should not just hold the potassium without consulting the provider be-cause the client's level is dangerously low.
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