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What instruction should a nurse provide for a client starting extended release potassium chloride (KCL)?

  1. Chew the tablet before swallowing

  2. Take the extended release tablets whole

  3. Dissolve the tablet in water before ingesting

  4. Take the tablet on an empty stomach

The correct answer is: Take the extended release tablets whole

Extended release potassium chloride tablets are designed to release the medication slowly into the body over a period of time. If the tablet is chewed or dissolved in water, this may alter the release of the medication, which can be dangerous or ineffective. Taking the tablet on an empty stomach may cause stomach upset, so it is recommended to take it with a meal. Therefore, B is the correct answer as it is essential to take the extended release tablets whole to properly receive the intended effects of the medication.