A nurse is reviewing the laboratory results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?

WBC 5.200/mm3.

Hgb 14 g/dL.

Potassium 3.2 mEq/L.

Magnesium 1.6 mEq/L.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
A white blood cell (WBC) count of 5,200/mm3 is within the normal range, which typically varies but is approximately 4,500-11,000/mm3. This result indicates a normal immune response and does not require provider notification.

Choice B rationale:
A hemoglobin (Hgb) level of 14 g/dL falls within the normal range for adults, which is generally between 12-16 g/dL for women and 13.5-17.5 g/dL for men. This result is not a cause for concern, and the nurse does not need to notify the provider about it.

Choice C rationale:
A potassium (K+) level of 3.2 mEq/L is considered hypokalemia. The normal range for potassium is around 3.5-5.0 mEq/L. Hypokalemia can lead to cardiac dysrhythmias, muscle weakness, and other serious complications. The nurse should notify the provider to address this electrolyte imbalance promptly.
Choice D rationale:
A magnesium (Mg) level of 1.6 mEq/L is below the normal range of approximately 1.7-2.2 mEq/L. While mild hypomagnesemia might not require immediate intervention, it's important to monitor and potentially address this electrolyte imbalance, especially if the client's symptoms worsen. However, it does not warrant immediate notification of the provider.

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Correct Answer is A

Explanation

The correct answer is choice A. “Fish and poultry are primary sources of heme iron.”

Choice A rationale:

Fish and poultry are indeed primary sources of heme iron, which is the type of iron found in animal products.Heme iron is more easily absorbed by the body compared to non-heme iron, which is found in plant-based foods.

Choice B rationale:

Cooking in a stainless steel skillet does not significantly increase the amount of iron in the food.While cooking in cast iron skillets can add some iron to the food, stainless steel does not have the same effect.

Choice C rationale:

Drinking iced tea with meals can actually decrease the amount of iron absorbed.Tea contains tannins, which can inhibit the absorption of non-heme iron from plant-based foods.

Choice D rationale:

Drinking orange juice with iron supplements can actually increase absorption, not decrease it.Vitamin C, found in orange juice, enhances the absorption of non-heme iron.

A. Have the client swallow his medications with the supplement. B. Enhance the flavor of supplements by serving them warm. C. Leave an opened supplement at the bedside throughout the day. D. Offer the supplement as a substitute for one of the client's daily meals.

Correct Answer is B

Explanation

Choice A rationale:
Having the client swallow medications with the supplement might not be appropriate, as some medications may interact with the nutritional supplement or alter its effectiveness. It's important to assess each medication's compatibility with the supplement and consult with a pharmacist if needed.
Choice B rationale:
Enhancing the flavor of supplements by serving them warm can improve their palatability and encourage the client to consume them. Cold supplements might be less appealing, and warming them could make them more enjoyable, especially for older adults who might have altered taste perceptions.
Choice C rationale:
Leaving an opened supplement at the bedside throughout the day is not recommended. Nutritional supplements should be consumed within a specified time frame to ensure their safety and efficacy. Opened liquids are susceptible to contamination and spoilage, which could be harmful to the client.
Choice D rationale:
Offering the supplement as a substitute for one of the client's daily meals is not a suitable approach without proper guidance from a healthcare provider or registered dietitian. High-calorie liquid supplements are intended to supplement the client's regular meals, not replace them entirely. Adequate overall nutrition is essential for the client's well-being.

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A nurse is reviewing the laboratory results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who requires high-calorie liquid nutritional supplements. Which of the following actions should the nurse take to ensure the client consumes the supplement?

Correct Answer is B

Explanation

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