Question

a nurse is preparing to administer potassium chloride iv to a client who has hypokalemia. which of the following actions should the nurse take? select all that apply. a infuse medication through a large - bore needle. b monitor urine output to ensure at least 20 ml/hr. c administer medication via direct iv bolus. d implement cardiac monitoring. e administer the infusion using an iv pump.

Explanation:

• Option A: A large - bore needle helps reduce the risk of vein irritation as potassium chloride can be irritating to veins.
• Option B: Urine output of at least 20 mL/hr indicates that the kidneys are functioning to some extent, which is important as potassium is excreted by the kidneys. If urine output is too low, potassium can accumulate in the body.
• Option C: Administering potassium chloride via direct IV bolus is extremely dangerous as it can cause cardiac arrest. Potassium chloride must be diluted and infused slowly.
• Option D: Hypokalemia can cause cardiac arrhythmias. Cardiac monitoring allows the nurse to detect any changes in the heart rhythm promptly.
• Option E: An IV pump ensures a controlled and slow infusion rate of potassium chloride, which is crucial to prevent complications.

Answer:

A. Infuse medication through a large - bore needle, B. Monitor urine output to ensure at least 20 mL/hr, D. Implement cardiac monitoring, E. Administer the infusion using an IV pump.