Day 1
1700: Admitted from the emergency department with a small bowel obstruction. Nasogastric tube (NGT) was inserted with intermittent suction. Awaiting surgical consult.
Day 2
0900: Morning labs reviewed and orders were given. Still awaiting surgical consult.
Day 2:
Day 1:
- Insert nasogastric tube to low intermittent suction
- Insert a peripheral vascular access device
- nothing by mouth (n.p.o.) status
- consult surgery for evaluation
- continuous infusion of 0.9% sodium chloride (normal saline) 100 mL/hr
Day 2:
- potassium chloride 40 mEq via intravenous piggy-back x 1 dose
The nurse reviews the clinical data.
The nurse prepares to implement the orders from day 2.
➢ Complete the following sentences by choosing from the list of options.
Prior to the nurse administering the prescribed IV potassium, the nurse should [ensure the client has adequate urine output. / verify that the client has a 20-gauge peripheral vascular access device. / obtain y-type tubing with an in-line filter. / perform the Allen test on the extremity with the vascular access device.] br The nurse should also [implement seizure precautions. / initiate continuous cardiac monitoring. / administer the potassium with food to minimize gastric irritation. / insert an indwelling urinary catheter.] br The nurse should infuse the IV potassium over [2 hours. / 4 hours. / 6 hours. / 3 hours.] br During the infusion, if the client should report pain at the vascular access device, the nurse should [stop the infusion. / apply a warm compress to the vascular access device. / stop the infusion and flush the IV tubing with saline. / position the extremity with the vascular access device in a dependent position.]
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