A patient is hypokalemic and will be receiving IV potassium. The patient is not on a heart monitor. How should the nurse administer the potassium replacement?

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Question 1 of 5

A patient is hypokalemic and will be receiving IV potassium. The patient is not on a heart monitor. How should the nurse administer the potassium replacement?

Correct Answer: C

Rationale: When administering IV potassium to a hypokalemic patient who is not on a heart monitor, it's important to ensure a controlled rate of infusion to prevent dangerous cardiac arrhythmias. The recommended maximum rate for IV potassium replacement in this scenario is typically no more than 20 mEq/hour. Faster administration rates can increase the risk of hyperkalemia and potentially lead to serious cardiac complications. Monitoring the patient closely for signs of hyperkalemia such as ECG changes or muscle weakness is also crucial during potassium replacement therapy.

Question 2 of 5

Select all when taking Iron Supplements.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Mannitol (Osmitrol), an osmotic diuretic, is contraindicated to which conditions? Select all that apply.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

If a patient is taking an ACE inhibitor, the nurse should monitor for signs of angioedema which include?

Correct Answer: B

Rationale: Angioedema is a potential adverse effect of ACE inhibitors. It is a serious condition involving swelling of the deeper layers of the skin and subcutaneous tissue, including the mucous membranes. Signs of angioedema can include swelling of the face, lips, tongue, or throat, which can lead to difficulty breathing (dyspnea) due to airway obstruction. It is important for the nurse to monitor for these signs and symptoms, as angioedema can be life-threatening and requires immediate medical attention. Vomiting, constipation, and epistaxis are not typical signs of angioedema associated with ACE inhibitors.

Question 5 of 5

When administering the drug lithium, name one important side effect to watch for:

Correct Answer: B

Rationale: One important side effect to watch for when administering the drug lithium is seizures. Lithium is commonly used to treat bipolar disorder, but it can lower the seizure threshold and increase the risk of seizures in some patients. It is crucial to monitor individuals taking lithium for any signs of seizures or seizure activity and to promptly address any such occurrences. Regular monitoring of lithium levels and adjusting the dosage as necessary can help minimize the risk of seizures in patients receiving this medication.

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