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.

Answer and Explanation

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).

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Correct Answer is C

Explanation

a. Serum chloride 99 mEq/L: Serum chloride within the reference range is not an adverse effect of spironolactone.

b. Serum calcium 10.5 mg/dL: Serum calcium within the reference range is not an adverse effect of spironolactone.

c. Serum potassium 5.2: Spironolactone is a potassium-sparing diuretic, and an elevated serum potassium level is an adverse effect that requires monitoring. The nurse should assess for

hyperkalemia.

d. Serum sodium 140 mEq/L: Serum sodium within the reference range is not an adverse effect of spironolactone.

A. An endometrial biopsy B. CA 125 C. Papanicolaou test D. Transvaginal ultrasound

Correct Answer is C

Explanation

a. An endometrial biopsy: An endometrial biopsy is not the preferred method for detecting cervical cancer. It is more commonly used to evaluate the endometrium.

b. CA 125: CA 125 is a tumor marker used more for ovarian cancer detection and monitoring, not cervical cancer.

c. Papanicolaou test: The Papanicolaou test, also known as a Pap smear, is the preferred method for detecting cervical cancer and precancerous changes.

d. Transvaginal ultrasound: While ultrasound may be used to evaluate gynecological conditions,

it is not the primary method for detecting cervical cancer; the Pap smear is the standard screening test.

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A nurse is reviewing a client’s laboratory results. Which of the following findings should the nurse report to the provider?

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