Nokea
Your knowledge of which of the following pieces of data regarding potassium takes highest priority?
- A. Never give KCl IV push.
- B. Never administer potassium chloride by the direct intravenous route.
- C. $\mathrm{KCl}$ given IV push can cause fatal cardiac arrhythmias.
- D. Yes, this is a trick question. All of the above choices are essentially the same, but you probably will be able to remember to never give $\mathrm{KCl}$ direct IV push.
Correct Answer: D
Rationale: All statements emphasize the danger of administering potassium chloride IV push, which can cause fatal cardiac arrhythmias, making this knowledge critical.
You may also like to solve these questions
A patient who consumes a diet that is deficient in vitamin D may be at risk for deficiency of which of the following?
- A. Calcium
- B. Potassium
- C. Phosphorus
- D. Magnesium
Correct Answer: A
Rationale: Vitamin D deficiency impairs calcium absorption, increasing the risk of calcium deficiency.
Which are accurate statements about metabolic alkalosis?
- A. The patient may have a marked increase in sodium bicarbonate levels.
- B. The patient may have taken excessive amounts of antacids.
- C. The patient may have a marked loss of hydrogen ions.
- D. The patient may have had prolonged diarrhea.
Correct Answer: A,B,C
Rationale: Metabolic alkalosis involves increased bicarbonate or loss of hydrogen ions, often from excessive antacid use, but not prolonged diarrhea, which causes acidosis.
Which of the following statements is(are) accurate about caring for patients with hypocalcemia?
- A. IV infusion of calcium can cause bradycardia.
- B. Assess for tingling around the mouth or tips of the fingers.
- C. Assess the patient's lungs frequently for crackles and the patient for shortness of breath.
- D. Monitor for muscle twitching and tetany.
Correct Answer: A,B,D
Rationale: Hypocalcemia care involves monitoring for tingling, muscle twitching, tetany, and potential bradycardia from IV calcium administration.
An older adult, or senior, with cardiac disease such as heart failure is at risk for fluid-volume overload. Which of the following interventions might be appropriate?
- A. Provide some coffee or tea as part of daily fluid intake.
- B. Restrict fluids.
- C. Increase salt intake.
- D. Monitor daily weights.
Correct Answer: B,D
Rationale: Fluid restriction and monitoring daily weights help manage fluid-volume overload in heart failure patients to prevent worsening of the condition.
The average adult needs to drink how much water each day?
- A. 0.5 L
- B. 1 L
- C. 1.5 to 2 L
- D. 2 to 3 L
- E. 3 to 4 L
Correct Answer: D
Rationale: The average adult requires 2 to 3 liters of water daily to maintain proper hydration, depending on activity level and environmental factors.