The nurse is reviewing laboratory results for a group of patients. Which value should be of most concern to the nurse?
Sodium level 140 mEq/L (136-145 mEq/L)
Magnesium level 1.0 mEq/L (1.3-2.1 mEq/L)
Calcium level 10 mg/dL (9-10.5 mg/dL)
Potassium level 3.5 mEq/L (3.5-5 mEq/L)
The Correct Answer is B
A. Sodium level 140 mEq/L (136-145 mEq/L): This sodium level is within the normal range and is not of concern.
B. Magnesium level 1.0 mEq/L (1.3-2.1 mEq/L): This value is below the normal range, indicating hypomagnesemia, which can cause serious complications such as arrhythmias, neuromuscular irritability, and seizures. This is the most concerning value.
C. Calcium level 10 mg/dL (9-10.5 mg/dL): This calcium level is within the normal range and is not concerning.
D. Potassium level 3.5 mEq/L (3.5-5 mEq/L): This potassium level is at the low end of normal. While it is something to monitor, it is not immediately concerning compared to hypomagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
. "Bradycardia is an early indicator of a pneumothorax.": Tachycardia, not bradycardia, is an early sign of pneumothorax.
B. "Administer a bronchodilator to the child after chest percussion therapy.": Bronchodilators are typically administered before chest physiotherapy to open airways and enhance mucus clearance.
C. "Engage the child in daily aerobic exercise.": Exercise promotes lung function, airway clearance, and overall physical health in children with cystic fibrosis.
D. "A pigeon-shaped chest might become evident as the disease progresses.": This is incorrect; barrel chest deformities, not pigeon chest, are associated with cystic fibrosis.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Answer: I. Temperature
II. Antibiotic therapy
I. Temperature: The client has a fever (37.3°C), which can be a sign of infection or another serious condition. The first priority is to address the fever, as it may indicate a systemic infection, which needs immediate intervention. Fever is usually managed with antipyretics such as acetaminophen.
II. Antibiotic therapy: Since the client has a fever and possible infection, antibiotic therapy should be initiated early (as per the provider’s orders) to treat the suspected infection. Broad-spectrum antibiotics are often started while waiting for culture results.
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