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 A
Explanation
a. Ineffective airway clearance: This is the priority as it addresses the immediate threat to the client's respiratory status. Accumulation of thick, copious secretions can lead to airway
obstruction and respiratory distress.
b. Malnourishment: While important, addressing malnourishment is not an immediate
postoperative priority. The client may receive nutrition through alternative means until normal swallowing function is restored.
c. High risk for infection: Infection is a concern, but ensuring airway clearance takes precedence in the immediate postoperative period.
d. Impaired verbal communication: Verbal communication is important, but it is not as immediate a concern as ensuring the airway is clear to prevent respiratory compromise.
Correct Answer is A
Explanation
a. Tetany: A calcium level of 8 mg/dl is low and can be associated with tetany.
b. Constipation:This is associated with hypercalcemia as opposed to hypocalcemia
c. Negative Chvostek sign: A positive Chvostek sign is associated with hypocalcemia, not hypercalcemia.
d. Elevated blood pressure: Elevated calcium levels are not typically associated with elevated blood pressure. Hypertension is not a common manifestation of hypercalcemia.
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