A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?
Check the client for a positive Chvostek’s sign
Discontinue the TPN infusion.
Request a potassium replace
Administer glucagon IM
The Correct Answer is C
A. Check the client for a positive Chvostek’s sign:
Chvostek's sign is a clinical sign of hypocalcemia, not related to the given laboratory values. The symptoms include facial muscle twitching when the facial nerve (VII) is tapped. There's no indication for this assessment based on the provided information.
B. Discontinue the TPN infusion:
The glucose level is within the normal range (70-99 mg/dL). Discontinuing TPN based solely on this glucose level is not warranted.
C. Request a potassium replacement:
The potassium level is low (normal range typically 3.5-5.0 mEq/L). Given the low potassium level, the nurse should plan to request a potassium replacement. Potassium is crucial for various physiological functions, and a deficiency can lead to significant complications.
D. Administer glucagon IM:
Glucagon is used to treat hypoglycemia, but the client's glucose level is within the normal range, so administering glucagon is not indicated.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Headache: Omeprazole is not primarily used to treat headaches. While it might indirectly alleviate headaches caused by acid reflux or heartburn, its primary purpose is to reduce stomach acid production.
B. Diarrhea: Omeprazole is not typically used to treat diarrhea. Diarrhea can have various causes, including infections or dietary issues, and treatment would depend on the underlying cause.
C. Nausea: While omeprazole may indirectly help with nausea caused by excessive stomach acid, its main role is to reduce acid production. If nausea is due to other causes, such as medications or infections, different treatments might be necessary.
D. Acid indigestion: This is the correct answer. Omeprazole is very effective at relieving symptoms of acid indigestion, heartburn, and gastroesophageal reflux disease (GERD). It works by reducing the production of stomach acid, thereby alleviating discomfort associated with excess acid.
Correct Answer is D
Explanation
A. Docusate:
Docusate is a stool softener used to prevent constipation and straining during bowel movements. It is not typically used as a treatment for acute exacerbation of ulcerative colitis.
B. A bowel cathartic medication:
Bowel cathartic medications are laxatives that promote bowel movements. They are generally not used to treat acute exacerbation of ulcerative colitis and can sometimes worsen symptoms in individuals with inflammatory bowel disease.
C. Aspirin:
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can worsen symptoms of inflammatory bowel disease and is generally avoided in individuals with ulcerative colitis.
D. A corticosteroid medication:
This is the correct answer. Corticosteroids, such as prednisone, are often used to reduce inflammation in the colon during acute exacerbations of ulcerative colitis. They help in managing the symptoms and promoting healing of the inflamed intestinal lining.
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