A client is started on furosemide 80 mg every morning.
Which lab result needs to be reported to the health care provider?
Sodium is 144.
Potassium is 3.0.
Chloride is 99.
Calcium is 5.0.
The Correct Answer is B
Potassium is 3.0.
This is because furosemide is a loop diuretic that can cause hypokalemia (low potassium levels) as a side effect. Hypokalemia can lead to muscle weakness, cramps, cardiac arrhythmias, and digoxin toxicity. The normal range for potassium is 3.5 to 5.0 mEq/L.
Choice A is wrong because sodium is 144 is within the normal range of 135 to 145 mEq/L.
Choice C is wrong because chloride is 99 is within the normal range of 98 to 106 mEq/L.
Choice D is wrong because calcium is 5.0 is within the normal range of 4.5 to 5.5 mg/dL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client practices meditation for 20 minutes once a day. This is an example of an adaptive coping strategy, which is a cognitive or behavioral effort to manage stressful conditions or associated emotional distress.
Meditation can help reduce tension, enhance relaxation, and promote well-being.
Choice A is wrong because the client consumes 3 glasses of wine after a stressful day at work. This is an example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.
Alcohol consumption can have negative effects on physical and mental health, and does not address the source of stress.
Choice C is wrong because the client keeps all unresolved conflict to themselves. This is an example of an emotion-focused coping strategy, which is an attempt to regulate the emotional distress caused by a stressor.
However, this strategy can be maladaptive if it involves suppressing or denying emotions, which can lead to increased psychological distress and poor interpersonal relationships.
Choice D is wrong because the client consumes a half gallon of ice cream after an argument with a coworker. This is another example of an avoidance coping strategy, which is an attempt to reduce stress by avoiding dealing directly with the problem.
Ice cream consumption can have negative effects on physical health, such as obesity and diabetes, and does not address the source of stress.
Correct Answer is A
Explanation
Maintain trust and avoid behaviors that may increase agitation. This is the priority action because it is important for the nurse to attempt to de-escalate the client and maintain trust.
A. Ordering the client to go to their room and alerting security is not the priority action because it may increase agitation and does not maintain trust.
C. Telling the client to sit down or risk isolation and loss of privileges is not the priority action because it may increase agitation and does not maintain trust.
D. Sedating the client after collecting a lithium level is not the priority action because it does not address the immediate need to de-escalate the situation and maintain trust.
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