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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Injecting air into the ampule prior to drawing the medication into a syringe is incorrect because ampules are sealed glass containers, and injecting air could cause the liquid to spill out due to pressure changes.
Choice B rationale
Adding 0.5 mL of diluent to the medication is not appropriate for most medications in ampules unless specifically instructed by the medication guidelines. Ampules typically contain ready-to-use medication.
Choice C rationale
Using a filter needle to aspirate the medication is the correct action. A filter needle is used to prevent any glass particles from being drawn into the syringe, ensuring the medication is safe for administration.
Choice D rationale
Cleansing the tip of the ampule with an alcohol swab after opening is unnecessary because the ampule's contents are sterile and the risk of contamination is minimized if the ampule is handled correctly.
Correct Answer is C
Explanation
Choice A rationale
Health information should not be disclosed to an employer for pre-employment screening without the client's consent, as it violates privacy regulations and the client's right to confidentiality. Such disclosures could lead to discrimination or bias in employment decisions.
Choice B rationale
Disclosing health information to a family member without the client's consent is a breach of confidentiality. The client must provide explicit permission, unless the situation involves an immediate risk to the client's or others' safety, which is not indicated here.
Choice C rationale
Sharing health information with a medical interpreter service on behalf of a client is permissible, as it facilitates communication between the client and healthcare providers. This action supports the client's care and ensures accurate understanding of medical information, making it an exception to the confidentiality rule.
Choice D rationale
Disclosing health information to an insurance agency regarding a life insurance policy requires the client's consent. It involves sharing sensitive information that could affect policy terms and premiums. Without consent, this disclosure would breach confidentiality laws.
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