A nurse is reviewing a client’s laboratory results. Which of the following findings should the nurse be concerned about?

Sodium 126 mEq/l

Chloride 99 mmol/l

Albumin 4.9 mg/dl

Potassium 3.6 mEq/l

Answer and Explanation

The Correct Answer is A

A. Sodium 126 mEq/L: This value indicates hyponatremia, which can cause confusion, seizures, and fluid imbalance. Normal sodium levels are 135-145 mEq/L, so this is a critical finding.

B. Chloride 99 mmol/L: This is within the normal range (96-106 mmol/L), so it is not concerning.

C. Albumin 4.9 mg/dL: Normal albumin levels are 3.5-5.0 mg/dL, so this value is within range.

D. Potassium 3.6 mEq/L: Normal potassium levels are 3.5-5.0 mEq/L. This value is on the lower end but still within normal limits.

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Correct Answer is D

Explanation

A. Administering medications at different times: timing does not affect renal function monitoring.

B. Comparing the client’s armband with the MAR: this is a safety check, not a precaution for renal function.

C. Monitoring for a decrease in BUN and creatinine: a decrease does not indicate renal impairment.

D. Closely monitoring the client's BUN and creatinine for an increase from baseline: Renal function declines with age, increasing the risk of drug accumulation and toxicity. An increase in BUN (normal: 7-20 mg/dL) and creatinine (normal: 0.6-1.3 mg/dL) indicates worsening kidney function and necessitates medication adjustments.

A. Instruct the client to wait until you are completely finished before asking any questions B. Teach information at a 5th grade level C. Talk about the least important information in the beginning and the most important at the end D. Use teach back method and active learning

Correct Answer is D

Explanation

A. Instruct the client to wait until you are completely finished before asking any questions – This discourages client engagement and may prevent the nurse from addressing concerns in real time.

B. Teach information at a 5th-grade level – While simple language is beneficial, the level should be tailored to the client’s comprehension rather than assuming all clients understand at a 5th-grade level.

C. Talk about the least important information in the beginning and the most important at the end – Clients may have limited attention spans, and it is better to start with essential information.

D. Use teach-back method and active learning: The teach-back method ensures that the client understands the medication instructions by asking them to repeat the information. Active learning engages the client in the learning process, improving retention.

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A nurse is reviewing a client’s laboratory results. Which of the following findings should the nurse be concerned about?

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