A client who has been NPO for 3 days is receiving an infusion of D5W
0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83
ml/hour. The client's eight-hour urine output is 400 ml, blood urea
nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum glucose is
120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is most
important for the nurse to implement?
A) Notify healthcare provider and request to change the IV infusion to
hypertonic D10W.
B) Decrease in the infusion rate of the current IV and report to the
healthcare provider.
C) Document in the medical record that these normal findings are
expected outcomes.
D) Obtain potassium chloride 20 mEq in anticipation of a prescription
to add to present IV.
0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83
ml/hour. The client's eight-hour urine output is 400 ml, blood urea
nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum glucose is
120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is most
important for the nurse to implement?
A) Notify healthcare provider and request to change the IV infusion to
hypertonic D10W.
B) Decrease in the infusion rate of the current IV and report to the
healthcare provider.
C) Document in the medical record that these normal findings are
expected outcomes.
D) Obtain potassium chloride 20 mEq in anticipation of a prescription
to add to present IV.
