A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days.Which of the following laboratory findings should the nurse expect?

Hypermagnesemia.

Hyperkalemia.

Hyponatremia.

Hypocalcemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Hypermagnesemia is less common with vomiting and diarrhea. These conditions usually cause a loss of magnesium rather than an excess.

Choice B rationale

Hyperkalemia is also less typical. Vomiting and diarrhea tend to cause potassium loss, leading to hypokalemia instead.

Choice C rationale

Hyponatremia is common as vomiting and diarrhea result in the loss of sodium and water, leading to low blood sodium levels.

Choice D rationale

Hypocalcemia is not a primary result of vomiting and diarrhea. Calcium levels are usually not directly affected by gastrointestinal fluid loss.

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Correct Answer is D

Explanation

Choice A rationale

While checking recent medication administration is important, it is not the immediate priority when a client is experiencing shortness of breath. Immediate actions should focus on assessing and improving the client's oxygenation status.

Choice B rationale

Reviewing the client’s most recent SaO2 level is useful, but not the first action to take when there is an immediate concern for the client’s oxygenation. Addressing the current low SaO2 level takes precedence.

Choice C rationale

Notifying the charge nurse is necessary, but the nurse should first attempt to quickly re-evaluate the client’s condition and try simple interventions to improve oxygenation, such as having the client cough and clear their throat.

Choice D rationale

Rechecking the SaO2 level after having the client cough and clear their throat is the appropriate first action. This can help determine if the low SaO2 reading is due to a temporary obstruction, such as mucus, and allows for a more accurate assessment of the client's respiratory status. .

A. Drink citrus juice with meals. B. Train the bladder by voiding every 5 hours. C. Apply adult diapers at bedtime. D. Perform pelvic-muscle exercises.

Correct Answer is D

Explanation

Choice A rationale

Drinking citrus juice with meals can irritate the bladder and exacerbate urinary incontinence due to the high acidity in citrus fruits. It is not recommended for individuals with urinary incontinence.

Choice B rationale

Training the bladder by voiding every 5 hours is too infrequent for most individuals. Bladder training usually involves more frequent voiding intervals to gradually increase the bladder's capacity to hold urine.

Choice C rationale

Applying adult diapers at bedtime can be useful in managing nighttime incontinence but does not address the underlying issue or provide a long-term solution for urinary incontinence.

Choice D rationale

Performing pelvic-muscle exercises, also known as Kegel exercises, can strengthen the pelvic floor muscles and improve bladder control, making it an effective method for managing urinary incontinence.

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A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days.Which of the following laboratory findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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