Answer :

Final answer:

The priority intervention when administering 20 mEq potassium chloride IV is to accurately prepare the dilution from a concentrated stock solution and to monitor the patient for any adverse reactions.

Explanation:

Priority Intervention for Administering IV Potassium Chloride

When administering 20 mEq potassium chloride intravenously (IV), the priority intervention is to ensure the correct preparation of the IV solution, particularly because high-concentration stock solutions of KCl are used. In the described scenario, an aide would not simply take out an IV bag containing 0.5% KCl from a supply cabinet. Instead, the aide must prepare the solution by diluting a more concentrated KCl stock solution. They would use a syringe to inject the precise volume of this stock solution into a sterile IV bag of saline or another appropriate diluent to reach the ordered concentration. It is critical that this dilution calculation and preparation is carried out accurately to prevent potential complications such as arrhythmias or cardiac arrest. Additionally, it is essential to monitor the patient's electrolyte levels, administer the solution slowly, and observe for any adverse reactions.

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