A client was seen in the emergency room with a complaint of severe episodes of vomiting and diarrhea, and complains of feeling lightheaded.
Which laboratory test should the nurse prioritize?
Blood glucose levels.
Serum potassium levels.
Lipid profile.
Thyroid function tests.
The Correct Answer is B
Choice A rationale
Blood glucose levels are important but are not the immediate priority for assessing the cause of severe vomiting and diarrhea with lightheadedness. Electrolyte imbalances are more likely to be the cause.
Choice B rationale
Serum potassium levels should be prioritized as vomiting and diarrhea can lead to significant potassium loss, which can result in dangerous cardiac and neuromuscular symptoms. Assessing potassium levels is crucial in this scenario.
Choice C rationale
Lipid profile is not relevant in the acute assessment of severe vomiting, diarrhea, and lightheadedness. This test is more useful for long-term cardiovascular risk assessment.
Choice D rationale
Thyroid function tests are not immediately relevant to the acute symptoms of vomiting and diarrhea with lightheadedness. Electrolyte imbalances are a more immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.
Choice B rationale
Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.
Choice C rationale
Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.
Choice D rationale
Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .
Correct Answer is A
Explanation
Choice A rationale
The inability to locate a dorsalis pedis pulse and increasing pain indicate compromised circulation, which requires immediate attention to prevent complications.
Choice B rationale
Pain relieved after administering medication indicates effective pain management, which is not an urgent issue to report immediately.
Choice C rationale
Generalized weakness and increasing sensitivity to touch can be concerning but are not as urgent as signs of compromised circulation.
Choice D rationale
Localized edema and discoloration are expected findings in a fracture and are not as urgent as an absent pulse. .
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