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 D
Explanation
A. Inspiratory stridor - This is associated with upper airway obstruction and is not indicative of a pneumothorax.
B. Expiratory wheeze - Wheezing is commonly associated with lower airway conditions such as asthma or chronic obstructive pulmonary disease (COPD), not pneumothorax.
C. Coarse crackles - Coarse crackles are typically heard in conditions such as pneumonia or pulmonary edema, not pneumothorax.
D. Absence of breath sounds - This is a key manifestation of a pneumothorax. The air in the pleural space can prevent the lung from fully expanding, leading to the absence of breath sounds on the affected side.
Correct Answer is D
Explanation
a. Blood glucose 150 mg/dL: While elevated blood glucose may be a concern, potassium levels are more critical in the context of acute gastroenteritis, which can lead to fluid and electrolyte
imbalances.
b. Urine specific gravity 1.035: Elevated urine specific gravity indicates concentrated urine and possible dehydration. However, the low potassium level takes precedence as it can lead to
serious cardiac complications.
c. Weight loss of 3% of total body weight: Weight loss is a concern, but the immediate risk of hypokalemia (low potassium) takes priority.
d. Potassium 2.5 mEq/L: This low potassium level is a critical finding that requires prompt attention, as it can lead to cardiac dysrhythmias and other serious complications.
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