When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Potassium 5.5 mEq/L

Potassium 3.8 mEq/L

Potassium 4.5 mEq/L

Potassium 2.9 mEq/L

Answer and Explanation

The Correct Answer is D

Choice A reason: A high potassium level can increase the risk of digoxin toxicity. The normal range for potassium is typically 3.5 to 5.0 mEq/L, so a level of 5.5 mEq/L should be reported.

Choice B reason: A potassium level of 3.8 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.

Choice C reason: A potassium level of 4.5 mEq/L is within the normal range and would not typically increase the risk of digoxin toxicity.

Choice D reason: A low potassium level can also increase the risk of digoxin toxicity, but the question asks for the result that does not increase the risk, making 2.9 mEq/L incorrect in this context.

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Correct Answer is D

Explanation

Choice A reason: While it may be beneficial for the client's mood, taking the client out of the facility does not directly address the sudden change in behavior.

Choice B reason: Rewarding the client for a change in behavior does not address the potential risks associated with a sudden change in mental status.

Choice C reason: Asking the client why their behavior has changed could be part of an assessment, but it is not an immediate safety intervention.

Choice D reason: Monitoring the client's whereabouts at all times is important as a sudden lift in depressive symptoms can sometimes precede a suicide attempt, and close observation is necessary.

A. Ask the client if she has a plan to commit suicide. B. Notify the client's family and request a visitor to stay with the client until thoughts of suicide are gone. C. Recognize the attempt at manipulation and escort the client back to her activity. D. Assist the client to her room and allow her to rest before resuming activity.

Correct Answer is A

Explanation

Choice A reason: Directly asking the client about suicidal plans is a critical step in assessing risk and determining the need for immediate intervention.

Choice B reason: While involving the family is important, it does not address the immediate risk the client may pose to herself.

Choice C reason: Recognizing the statement as a manipulation attempt is inappropriate; all expressions of suicidal ideation should be taken seriously.

Choice D reason: Allowing the client to rest does not address the immediate risk of suicide and the need for urgent assessment and intervention.

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When the nurse is reviewing a patient's daily laboratory test results, which of the following potassium levels should the nurse report to the healthcare provider to reduce the risk of digoxin (Lanoxin) toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is A

Explanation

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