A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide.
Which of the following findings should the nurse report to the provider?.
Potassium 2.3 mEq/L.
Chloride 99 mEq/L.
Sodium 136 mEq/L.
Calcium 10 mg/dL.
The Correct Answer is A
Choice A rationale:
Potassium 2.3 mEq/L is below the normal range of 3.5 to 5.0 mEq/L1. Hydrochlorothiazide, a diuretic, can cause hypokalemia, which is a low level of potassium.
Choice B rationale:
Chloride 99 mEq/L is within the normal range of 96 to 106 mEq/L2, so it’s not a concern.
Choice C rationale:
Sodium 136 mEq/L is within the normal range of 135 to 145 mEq/L3, so it’s not a concern.
Choice D rationale:
Calcium 10 mg/dL is within the normal range of 8.6 to 10.2 mg/dL4, so it’s not a concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
Choice B rationale:
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
Choice C rationale:
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
Choice D rationale:
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
Correct Answer is B
Explanation
Choice A rationale:
Giving the client access to a video about diabetes is a good teaching tool, but it should come after assessing the client’s knowledge.
Choice B rationale:
The first step in patient education is to assess the client’s learning needs. This includes determining what the client already knows about managing diabetes.
Choice C rationale:
Establishing short-term, realistic goals for the client is important, but it should be done after assessing the client’s knowledge.
Choice D rationale:
Evaluating the effectiveness of the client’s admission teaching plan is a later step, after assessing the client’s knowledge and teaching them about their condition.
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