A client is prescribed ammonium chloride. Which statement ...

[erika]

A client is prescribed ammonium chloride. Which statement indicates an appropriate understanding after medication teaching?
 
  1. I will report sleepiness right away.
  2. This medication should make him a little shaky.
  3. Confusion will be normal for a day or so.
  4. The IV infusion is going to be painful.

Question 2

A nurse is providing care to several post surgical client. Which prescription would the nurse question?
 
  1. Infuse potassium chloride 40 mEq, IV push over 1 minute, once.
  2. Infuse potassium chloride 40 mEq in 250 mL NaCl, over 4 hours, once.
  3. Administer potassium chloride 20 mEq, by mouth, once.
  4. Administer potassium chloride, 20 mEq diluted in 90 mL juice, by mouth once.

[irishcancer18]

Answer to Question 1

Correct Answer: 1
Rationale 1: Symptoms of excessive drowsiness or confusion should be reported immediately because they are signs of overdose.
Rationale 2: Tremors might be a sign of overdose.
Rationale 3: Symptoms of excessive drowsiness or confusion should be reported immediately because they are signs of overdose.
Rationale 4: Pain at the IV site should be reported immediately.
Global Rationale: Symptoms of excessive drowsiness or confusion should be reported immediately because they are signs of overdose. Tremors might be a sign of overdose. Symptoms of excessive drowsiness or confusion should be reported immediately because they are signs of overdose. Pain at the IV site should be reported immediately.

Answer to Question 2

Correct Answer: 1
Rationale 1: Never give potassium as an IV push or in concentrated amounts by any route.
Rationale 2: This is an appropriate potassium order for IV infusion.
Rationale 3: Oral potassium may be administered by mouth. The client should be in a sitting or standing position to avoid esophagitis.
Rationale 4: Potassium chloride may be given in liquid forms. Dilute each 20 mEq in at least 90 mL of water or juice.
Global Rationale: Never give potassium as an IV push or in concentrated amounts by any route. All the other orders are appropriate.