A client is admitted to the hospital with dehydration secondary to influenza and vomiting. The provider orders an intravenous (IV) potassium replacement for potassium level of 2.7 mEq/L (2.7 mmol/L). Which of these best practice techniques does the nurse include when administering this medication?Select all that apply.*1 pointa. Ensuring that the concentration is no greater than 1 mEq/10mL of solutionb. Use a vein in the hand for better flowc. Use an IV pump to deliver the medicationd. Check IV access for blood return after the infusionPush the medication over 5 minutes
Question
A client is admitted to the hospital with dehydration secondary to influenza and vomiting. The provider orders an intravenous (IV) potassium replacement for potassium level of 2.7 mEq/L (2.7 mmol/L). Which of these best practice techniques does the nurse include when administering this medication?Select all that apply.*1 pointa. Ensuring that the concentration is no greater than 1 mEq/10mL of solutionb. Use a vein in the hand for better flowc. Use an IV pump to deliver the medicationd. Check IV access for blood return after the infusionPush the medication over 5 minutes
Solution
The best practice techniques for administering IV potassium replacement include:
a. Ensuring that the concentration is no greater than 1 mEq/10mL of solution: This is important to prevent hyperkalemia, a condition characterized by high levels of potassium in the blood, which can lead to heart problems.
c. Use an IV pump to deliver the medication: An IV pump ensures that the medication is delivered at a steady, controlled rate, reducing the risk of administering too much medication too quickly.
d. Check IV access for blood return after the infusion: This is done to ensure that the IV line is still in the vein and hasn't become dislodged, which could lead to the medication being delivered into the surrounding tissue instead of the bloodstream.
The other options are not considered best practices. Using a vein in the hand can be more painful and has a higher risk of complications, and pushing the medication over 5 minutes can lead to administering the medication too quickly, which can cause adverse effects.
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