A client reports experiencing numbness and tingling in the extremities. Which of the client's serum laboratory values should the practical nurse (PN) prioritize reporting to the healthcare provider?
Hematocrit
Albumin and protein levels
Electrolytes
White blood cell count (WBC)
The Correct Answer is C
When a client reports experiencing numbness and tingling in the extremities, it is crucial for the practical nurse (PN) to prioritize reporting the client's electrolyte levels to the healthcare provider. Electrolytes are essential minerals that help maintain the balance of fluids in the body and enable proper nerve and muscle function. Imbalances in electrolyte levels can lead to neurological symptoms, including numbness and tingling.
Options a, b, and d are not the correct priorities to report in this situation:
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Related Questions
Correct Answer is C
Explanation
A. A heart rate of 120 beats/minute in a 2-month-old infant is within the expected normal range, so there is no immediate need to alert the charge nurse. Routine findings should be documented and managed according to standard protocol.
B. Digoxin should be withheld in infants if the apical heart rate is below 90–110 beats/minute depending on age. Since the infant’s heart rate is within the normal range, withholding the medication is not indicated.
C. Digoxin can be safely administered because a heart rate of 120 beats/minute is appropriate for a 2-month-old infant. Documenting the heart rate ensures accurate recording of the assessment prior to administration and supports safe medication practice.
D. There is no indication to delay or recheck the heart rate in 1 hour because the current rate is within normal limits. Delaying medication could interfere with therapeutic management.
Correct Answer is A
Explanation
This is the correct answer, as it reflects the nurse's assessment of the injury and the appropriate action to take. The nurse should consider the mother's report of pain as a valid indicator of the severity of the injury, and should not dismiss or minimize it. The nurse should also observe the boy's arm and shoulder for any signs of fracture, dislocation, swelling, bruising, or deformity, and ask him to rate his pain on a scale of 0 to 10. The nurse should then decide whether to refer the boy to a physician or an emergency department for further evaluation and treatment.
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