The nurse reviews morning lab results on his patients.
Based on these lab results which patient should the nurse see first?
Sodium 130 mEq/L.
Potassium 6.4 mmol/K.
Hgb 8.6 g/dL.
Fasting Glucose 145 mg/dL.
The Correct Answer is B
Choice B rationale
A potassium level of 6.4 mmol/K is above the normal range (3.5-5.0 mmol/L) and can be life- threatening. High potassium levels can lead to dangerous heart rhythms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
An exogenous infection occurs when a pathogen enters a patient’s body from their environment. For example, a healthcare worker can spread the infection due to poor adherence to infection control practices. This is not the case here as the infection is from the client’s own flora.
Choice B rationale
An endogenous infection is caused by the body’s normal flora. These microorganisms may act as opportunistic pathogens when the host is susceptible. In this case, the client’s systemic staphylococci infection originated from their own flora, making it an endogenous infection.
Choice C rationale
A community-acquired infection is one that was present or incubating prior to the patient being admitted to the hospital. Since the infection in this case originated from the client’s own flora and not from the community, this choice is incorrect.
Choice D rationale
A nosocomial infection, also known as a hospital-acquired infection, is an infection that is acquired in a hospital or other healthcare facility. Since the client’s infection originated from their own flora and not from the hospital environment, this choice is incorrect.
Correct Answer is D
Explanation
Choice A rationale
Subjective documentation cannot be quantified. It is based on the patient’s personal experiences and perceptions, which can vary greatly among individuals.
Choice B rationale
A patient’s description is an example of subjective data, not objective data. Subjective data is information that comes directly from the patient and includes their feelings, perceptions, and reported symptoms.
Choice C rationale
Subjective data can incorporate a patient’s emotions. Emotions can provide valuable insights into a patient’s mental and emotional health, which is an important aspect of overall health.
Choice D rationale
A 2-centimeter red wound with exudate is an example of objective data. Objective data is measurable, observable, and can be verified by more than one person.
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