A nurse reviews the chart and new prescriptions for a client with diabetic ketoacidosis:
Vital Signs and Assessment
Laboratory
Results
Medications
Blood pressure: 90/62 mm Hg
Pulse: 120 beats/min
Respiratory rate: 28 breaths/min
Urine output: 20 mL/hr via catheter
Serum potassium: 2.6 mEq/L
Potassium chloride 40 mEq IV bolus STAT
Increase IV fluid to 100 mL/hr
Which action should the nurse take?
a.
Administer the potassium and then consult with the provider about the fluid order.
b.
Increase the intravenous rate and then consult with the provider about the potassium prescription.
c.
Administer the potassium first before increasing the infusion flow rate.
d.
Increase the intravenous flow rate before administering the potassium.
ANS: 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 and then consult with the provider about the potassium.
You might also like to view...
The transverse imaginary body plane
a. divides front and back (coronal) of the body. b. divides the body lengthwise (two equal halves). c. divides superior and inferior portions of the body. d. divides the body into axial and appendicular.
Think aloud protocol is a method for generating rich data when users talk aloud as they use a product. This method is used: (Select all that apply.)
a. during initial product development. b. during mature product design. c. after the product is released. d. after the product is used.
The nurse is preparing the client to make the necessary dietary changes from what she has been doing during her pregnancy to what she should do during lactation. What should breastfeeding mothers be advised?
A) Thirst is not a reliable indicator of need. B) Even if a mother has adequate fat stores, calorie intake should be increased. C) The intake does not need to be restricted because the caffeine does not enter breast milk. D) If she does not consume enough calcium, her milk will be calcium deficient.
Signs and symptoms that would indicate that a leg cast has interfered with the circulation of a limb would be: (Select all that apply.)
a. Pallor b. Pain c. Weak pulse d. Warmth in toes e. Paralysis