A patient who is receiving D5/0.45% normal saline at 100 mL/hr has a potassium level of 3.2 mEq/L.A nurse notifies the requesting health-care provider and receives a telephone order to "administer potassium chloride (KCl)40 mEq IV now." Which action by the nurse is most appropriate?
A)Add KCl to the primary infusion and administer at the rate of 100 mL/hr.
B)Clarify the desired route and rate of administration with the requesting health-care provider.
C)Prepare KCl and administer IV push by accessing the port closest to the vein.
D)Mix the KCl in piggyback of 50 mL normal saline and infuse over 15 minutes.

Question

Quizplus · Accepted Answer

The nurse should clarify the desired route and rate of administration with the requesting health-care provider to ensure the safe administration of KCl. KCl is a high-alert medication, and its administration requires close monitoring of the patient's electrolyte levels and cardiac status. It is essential to confirm the correct route and rate of administration to prevent adverse reactions such as hyperkalemia or cardiac arrhythmias. The nurse should also assess the patient's renal function, as KCl should be used with caution in patients with impaired renal function. Administering KCl without clarifying the route and rate of administration is inappropriate and can be dangerous for the patient.

A Patient Who Is Receiving D5/0