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Chapter 21: Problem 5

The client admitted with hypokalemia has an order for potassium to be administered orally. Prior to administering the potassium, the nurse should: A. Check the client's creatinine level B. Ask the doctor to order an ECG C. Insert a nasogastric tube D. Acquire milk to give the oral potassium

Short Answer

Expert verified
Answer: A. Check the client's creatinine level.

Step by step solution

01

Option A: Check the client's creatinine level

Kidney function is a significant factor in potassium balance. Creatinine levels are a common indicator used to assess kidney function because a decreased creatinine clearance can be associated with reduced potassium excretion and possible hyperkalemia. It would be prudent for the nurse to check the client's creatinine levels before administering oral potassium. This option seems reasonable.
02

Option B: Ask the doctor to order an ECG

Hypokalemia can cause changes in the electrocardiogram (ECG). However, asking for an ECG before administering potassium is not necessary unless the patient shows symptoms of severe hypokalemia. This option may not be the primary action to consider.
03

Option C: Insert a nasogastric tube

A nasogastric tube is an unnecessary intervention for oral potassium administration. Oral potassium supplements are usually well-tolerated and can be administered alongside food or fluids. Inserting an unnecessary nasogastric tube is invasive and is not a preferred option.
04

Option D: Acquire milk to give the oral potassium

Administering oral potassium with milk could be a helpful approach to reduce the gastrointestinal irritation associated with potassium supplements. However, milk is not an essential requirement for oral potassium administration, and many other fluids can also be used to facilitate ingestion. Based on the analysis of each option, the most appropriate action before administering oral potassium is:
05

Final Answer: A. Check the client's creatinine level

Checking the client's creatinine level is essential for ensuring that the patient's kidney function is adequate for potassium clearance and avoiding potential hyperkalemia. This is a crucial safety measure the nurse should take before administering oral potassium to a client with hypokalemia.

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Most popular questions from this chapter

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