A patient has a serum phosphate level of 4.7 mg/dL. Which treatments should the nurse expect to be prescribed for this patient? Select all that apply.

Normal saline.

Potassium phosphate.

Additional milk intake.

Increased Vitamin D intake.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale:

Normal saline is not indicated for the treatment of high serum phosphate levels. It is a solution used for fluid resuscitation or hydration but does not have any direct effect on phosphate levels.

Choice B rationale:

Potassium phosphate is a suitable treatment for a patient with a low serum phosphate level (hypophosphatemia). In this case, the patient has a high serum phosphate level, and administering more phosphate would exacerbate the condition.

Choice C rationale:

Additional milk intake is not a suitable treatment for high serum phosphate levels. Milk contains phosphate, which would further elevate the phosphate level.

Choice D rationale:

Increased Vitamin D intake is a valid treatment for high serum phosphate levels (hyperphosphatemia). Vitamin D helps regulate phosphate levels by promoting its excretion.

Choice E rationale:

Calcium-containing antacids are used to bind phosphate in the gastrointestinal tract and reduce its absorption, thus lowering serum phosphate levels. This makes it a suitable treatment for hyperphosphatemia.

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Correct Answer is D

Explanation

Sodium 155 mEq/L. Choice A rationale:

A urine specific gravity of 1.035 indicates concentrated urine and is consistent with fluid volume deficit. However, it is not the most specific finding for this condition.

Choice B rationale:

A BUN (blood urea nitrogen) level of 19 mg/dL can be a normal value. It is within the reference range (usually around 7-20 mg/dL) and does not provide specific information about fluid volume deficit.

Choice C rationale:

A hematocrit of 44.9% can also be within the normal range for some individuals, and while it can be elevated in cases of fluid volume deficit, it is not as sensitive as other parameters for detecting this condition.

Choice D rationale:
This is the correct answer because a sodium level of 155 mEq/L is elevated and indicates hypernatremia, which is associated with fluid volume deficit. Hypernatremia occurs when there is a relative lack of water in relation to the sodium concentration in the blood, and it can lead to dehydration

A. 10 mg/dL. B. 18 mg/dL. C. 13 mg/dL. D. 25 mg/dL.

Correct Answer is D

Explanation

25 mg/dL.

Choice A rationale:

A BUN (Blood Urea Nitrogen) level of 10 mg/dL is within the normal range, indicating normal kidney function. There is no indication to report this value to the provider for a dehydrated client.

Choice B rationale:

A BUN level of 18 mg/dL is within the normal range as well. This value does not suggest significant dehydration, so it is not necessary to report it to the provider in this context.

Choice C rationale:

A BUN level of 13 mg/dL is also within the normal range, and similar to choices A and B, it does not indicate severe dehydration that requires immediate reporting to the provider.

Choice D rationale:

A BUN level of 25 mg/dL is elevated, which may indicate dehydration, kidney dysfunction, or other issues affecting fluid balance. Since the client is dehydrated, this elevated value needs to be reported to the provider for further evaluation and appropriate intervention.

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A patient has a serum phosphate level of 4.7 mg/dL. Which treatments should the nurse expect to be prescribed for this patient? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a client who is dehydrated. Which of the following BUN lab values should the nurse report to the provider?

Correct Answer is D

Explanation

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