A client reports feeling numbness and tingling in the extremities. Which of the client's serum laboratory values should the practical nurse (PN) review before reporting the finding?
White blood cell count (WBC).
Hematocrit
Albumin and protein.
Electrolytes
The Correct Answer is D
The correct answer is choice D. Electrolytes.
Choice A rationale:
White blood cell count (WBC) is primarily used to detect infections, inflammation, and immune system disorders. While an abnormal WBC count can indicate various health issues, it is not directly related to numbness and tingling in the extremities.
Choice B rationale:
Hematocrit measures the proportion of red blood cells in the blood. It is useful for diagnosing anemia and other blood disorders. However, hematocrit levels are not typically associated with symptoms of numbness and tingling.
Choice C rationale:
Albumin and protein levels are important for assessing nutritional status and liver function. Low levels can indicate malnutrition or liver disease, but they are not directly linked to the sensation of numbness and tingling in the extremities.
Choice D rationale:
Electrolytes, such as sodium, potassium, calcium, and magnesium, play a crucial role in nerve function and muscle contraction. Imbalances in electrolyte levels can lead to symptoms like numbness, tingling, and muscle cramps. Therefore, reviewing the client’s electrolyte levels is essential when they report these symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The injury description by the mother varies from the child's version.
Choice A rationale:
The practical nurse (PN) should note the significant indicator of possible child abuse, which is the discrepancy between the mother's description of the injury and the child's version. In cases of child abuse, perpetrators often provide inconsistent or conflicting explanations about how the injuries occurred, raising suspicion of maltreatment. This inconsistency can be a red flag for the PN to further assess the situation and, if necessary, report concerns to the appropriate authorities.
Choice B rationale:
While the child looking at the floor when answering questions might be a behavior worth noting, it alone is not a definitive indicator of child abuse. Children may exhibit various emotional responses for various reasons, and it requires further assessment to determine if there are signs of abuse.
Choice C rationale:
The healing of abrasions on the child's arms, legs, and chest does not necessarily indicate child abuse. Children are active and prone to minor injuries, which are a normal part of growing up. The PN should investigate further to determine the cause of the injuries.
Choice D rationale:
The mother describing in detail what she did for her injured child does not automatically suggest child abuse. It is essential for the PN to gather more information and conduct a comprehensive assessment before drawing any conclusions.
Correct Answer is C
Explanation
The correct answer is choice C. Assign the remainder of medication administration to another PN who is performing treatments.
Choice A rationale:
Asking unlicensed assistive personnel (UAP) to give medications to their assigned residents is not the best action to take in this situation. Medication administration requires a certain level of training and knowledge to ensure safe and accurate delivery. UAPs may not have the appropriate training and legal authorization to administer medications, which could lead to potential errors and harm to the residents.
Choice B rationale:
Documenting why all the medications were not given to each resident is not sufficient to address the issue at hand. While documentation is essential for record-keeping and communication, it does not resolve the problem of medication administration being left incomplete. The priority should be finding a qualified person to administer the remaining medications.
Choice C rationale:
This is the correct answer because assigning the remainder of medication administration to another PN who is performing treatments ensures that qualified and trained personnel are handling the medication administration. This PN is likely familiar with medication protocols and safety measures, reducing the risk of errors.
Choice D rationale:
Denying the medication aide's request to leave before all medications are given might not be practical if the aide is genuinely unwell or unable to continue working safely. The focus should be on ensuring that medication administration is completed by qualified staff rather than forcing the sick aide to stay.
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