The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

Calcium 8.6 mg/dL

WBC 19,000 mm3

Serum pH 7.33

Hemoglobin 9 mg/dL

Answer and Explanation

The Correct Answer is B

Choice A rationale: A calcium level of 8.6 mg/dL is within the normal range.

Choice B rationale: An elevated white blood cell count (WBC) of 19,000 mm3 indicates a potential infection or inflammatory process, requiring immediate attention, especially in a client receiving peritoneal dialysis.

Choice C rationale: A serum pH of 7.33 is within the normal range.

Choice D rationale: A hemoglobin level of 9 mg/dL might indicate anemia, but in a client receiving dialysis, it might not require immediate reporting unless it significantly drops further.

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Correct Answer is B

Explanation

Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.

Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.

Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.

Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.

A. Impaired urinary elimination related to obstructed flow of urine. B. Acute pain related to obstruction by the stone. C. Risk for urinary sepsis related to urinary stasis. D. Deficient knowledge related to need for prevention of recurrence of calculi.

Correct Answer is D

Explanation

Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.

Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.

Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.

Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.

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The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

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