Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?

Fluid restriction

Neomycin

Kayexalate

Sodium chloride infusion and furosemide

Answer and Explanation

The Correct Answer is C

Choice A reason: Fluid restriction doesn’t address hyperkalemia (6.4 mEq/L); it may concentrate potassium further, worsening the condition, as it’s unrelated to potassium excretion or shifting in this scenario.

Choice B reason: Neomycin, an antibiotic, reduces gut bacteria but isn’t used for hyperkalemia. It has no direct effect on potassium levels, making it irrelevant for this lab finding.

Choice C reason: Kayexalate binds potassium in the gut, facilitating its fecal excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia, aligning with urgent correction needs here.

Choice D reason: Sodium chloride and furosemide dilute and excrete potassium via urine, but Kayexalate is preferred for rapid gut-based removal when potassium is critically high (6.4 mEq/L).

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Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Barrel chest develops in emphysema from chronic air trapping, overexpanding lungs and flattening the diaphragm, altering thoracic shape over years.

Choice B reason: Edema relates to right heart failure from cor pulmonale, a late emphysema complication, not a direct or universal finding after five years.

Choice C reason: Productive cough is typical in chronic bronchitis, not emphysema, which features alveolar destruction and minimal mucus, leading to dry cough instead.

Choice D reason: Dyspnea in emphysema results from alveolar loss reducing oxygen exchange, forcing compensatory rapid breathing, a core symptom even after five years.

Choice E reason: Clubbed fingers occur in chronic hypoxia from emphysema, as poor oxygenation over years triggers nail bed angiogenesis, a common late finding.

A. The client should be placed on levothyroxine B. The client will need a removal of the thyroid gland C. This is a normal finding D. The nurse did not complete the assessment correctly

Correct Answer is C

Explanation

Choice A reason: Levothyroxine treats hypothyroidism, but a non-palpable, non-tender thyroid is normal, not indicating low hormone needing replacement, so this is unnecessary.

Choice B reason: Thyroidectomy addresses hyperthyroidism or masses, not a non-palpable, non-tender gland, which is physiologically normal, making surgery irrelevant here.

Choice C reason: A healthy thyroid is typically non-palpable and non-tender, indicating no enlargement or inflammation, aligning with normal anatomy, so this is correct.

Choice D reason: Proper assessment finds a non-palpable thyroid as normal; suggesting error assumes pathology without evidence, when findings match expected norms.

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Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a diagnosis of emphysema of five years. Which of the following findings should the nurse expect to see during the morning assessment? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?

Correct Answer is C

Explanation

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