A nurse is reviewing a client’s laboratory results. Which of the following findings should the nurse report to the provider?
Magnesium 1.9 mg.
Chloride 99 mEq/L.
Sodium 126 mEq/L.
Potassium 3.6 mEq/L.
The Correct Answer is C
a. Magnesium 1.9 mg: This magnesium level is within the expected reference range (1.3-2.1 mEq/L).
b. Chloride 99 mEq/L: This chloride level is within the expected reference range (98-106 mEq/L).
c. Sodium 126 mEq/L: A sodium level of 126 mEq/L is significantly below the normal range (135-145 mEq/L), indicating hyponatremia, which can have serious consequences and requires prompt attention.
d. Potassium 3.6 mEq/L: This potassium level is within the expected reference range (3.5-5.0 mEq/L).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Apply a warm cloth over the client's eyes: This intervention is not typically indicated for a client who had a craniotomy. It is important to monitor for signs of increased intracranial pressure, but a warm cloth over the eyes is not a standard intervention.
b. Place the client in a supine position: The position of the client after a craniotomy will depend on the surgeon's preference. It is important to follow specific postoperative positioning
instructions, which may or may not include supine positioning.
c. Maintain seizure precautions: Seizure precautions are crucial for clients who have had a craniotomy, as they are at an increased risk of seizures postoperatively.
d. Obtain a prescription for an opioid medication for pain: Pain management is important, but opioid medications may be carefully titrated due to the potential for respiratory depression and other side effects. It is not the primary intervention in the immediate postoperative period.
Correct Answer is D
Explanation
a. Urinary retention: Dark amber, cloudy, and malodorous urine is not typically associated with urinary retention. Urinary retention usually results in a lower-than-normal urine output.
b. Urinary incontinence: Incontinence refers to the inability to control urine flow and does not directly cause changes in urine color, clarity, or odor.
c. Urinary frequency: Increased frequency of urination is not typically associated with dark amber, cloudy, and malodorous urine.
d. Urinary tract infection (UTI): Dark amber, cloudy, and foul-smelling urine are common signs of a urinary tract infection. The infection causes changes in the appearance and odor of urine due to the presence of bacteria and inflammatory cells.
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