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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:
These values indicate metabolic acidosis, which is common in clients with chronic kidney disease. The kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate, leading to a low pH and low bicarbonate levels.
Choice B rationale:
These values indicate alkalosis, not typically associated with chronic kidney disease. The pH is high, indicating a basic or alkaline state, and the bicarbonate level is normal.
Choice C rationale:
These values indicate metabolic alkalosis, which is not typically seen in clients with chronic kidney disease. The pH and bicarbonate levels are both high.
Choice D rationale:
These values indicate respiratory acidosis, not typically associated with chronic kidney disease. The high PaCO2 level indicates that the lungs are not effectively eliminating CO2, leading to acidosis.

A. Clean the perineal area with an antiseptic solution daily. B. Irrigate the catheter once each shift. C. Check the catheter tubing for kinks or twisting. D. Replace the catheter every 3 days.

Correct Answer is C

Explanation

Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.

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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?.

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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?.