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 A
Explanation
Choice A rationale
Reviewing the client's photograph in the medical record is an effective method to ensure accurate identification. This practice aligns with patient safety protocols and minimizes the risk of medication errors by confirming the patient's identity through a visual match with a documented image.
Choice B rationale
Requesting an assistive personnel to identify the client might be unreliable if the personnel is unfamiliar with the client or makes an error. This approach does not provide a secure verification method and could lead to mistakes.
Choice C rationale
Asking the client to state their room number is not reliable since a client with advanced dementia may not remember their room number accurately. This method does not ensure proper identification and can lead to errors.
Choice D rationale
Having the client state their phone number is inappropriate for clients with advanced dementia, who may struggle to recall such information. This method is not a secure or accurate way to verify identity.
Correct Answer is A
Explanation
Choice A rationale
Unequal height of the shoulders is a common indication of scoliosis. This asymmetry is often observed when a person bends forward and is a key sign during scoliosis screening.
Choice B rationale
Increased concave curve of the thoracic spine is more indicative of kyphosis, not scoliosis. Scoliosis involves a lateral curvature of the spine rather than an increase in the concave curve.
Choice C rationale
Expansion of the upper intercostal spaces is not typically associated with scoliosis. This finding is more related to respiratory conditions and does not indicate spinal curvature.
Choice D rationale
Increased convex curve of the cervical spine indicates lordosis, a condition affecting the lower spine. It is not a sign of scoliosis, which involves a lateral curve rather than a convex or concave increase.
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