If a nurse reviews a prescription for albuterol in a patient with hypokalemia, what should the nurse do?

In a situation where a prescription for albuterol is reviewed for a patient with hypokalemia, the appropriate action is to clarify the order with the health care provider. Albuterol, a bronchodilator commonly used to treat asthma and other respiratory conditions, can cause a shift in potassium levels, leading to further hypokalemia. It promotes the movement of potassium into cells, which may decrease serum potassium levels, potentially worsening the patient's existing condition.

Given that the patient is already experiencing low potassium levels, administering albuterol without first clarifying the order could pose a significant risk. By contacting the health care provider, the nurse can discuss the potential implications of the medication in light of the patient's hypokalemia. This ensures patient safety and allows for the evaluation of alternative treatments or dosages if necessary.

In this context, it is critical for the nurse to exercise clinical judgment and maintain patient safety standards by addressing any discrepancies or concerns before proceeding with the administration of the medication.