NCLEX Practice Test

What are the appropriate nursing interventions related to the administration of potassium chloride through a peripherally inserted IV line? Select all that apply.

1. Administer as IV bolus

2. Assess IV site frequently

3. Assess renal function laboratory results and urine output

4. Place client on cardiac monitor

5. Verify that IV pump infusion is not >10 mEq/hr (10 mmol/hr)

The correct answer is: Administer as IV bolus

The suitable nursing interventions related to the administration of potassium chloride through a peripherally inserted IV line focus on ensuring patient safety and effective medication delivery. Administering potassium chloride as an IV bolus is not safe, as this can lead to rapid infusion and a risk of hyperkalemia or other cardiac complications. Potassium chloride should usually be administered slowly, typically via an infusion pump, to avoid these severe risks. This clarifies why only careful monitoring, assessment, and adherence to safe administration practices are crucial. Frequent assessments of the IV site help identify any complications such as infiltration or phlebitis early. Monitoring is essential given that potassium administration can irritate veins, and recognizing adverse reactions is vital to patient safety. Evaluating renal function laboratory results and urine output is necessary because potassium is primarily excreted through the kidneys. If renal function is impaired, potassium levels can rise significantly, leading to dangerous cardiac issues. This monitoring ensures that the patient can adequately excrete the potassium being administered. Placing the client on a cardiac monitor is also crucial when administering potassium chloride. Since changes in potassium levels can affect cardiac function, continuous cardiac monitoring allows for prompt detection of any arrhythmias or changes in the heart rhythm that may occur due to fluctuations