A client was seen in the emergency room with a complaint of severe episodes of vomiting and diarrhea, and complains of feeling lightheaded.
Which laboratory test should the nurse prioritize?

Blood glucose levels.

Serum potassium levels.

Lipid profile.

Thyroid function tests.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Blood glucose levels are important but are not the immediate priority for assessing the cause of severe vomiting and diarrhea with lightheadedness. Electrolyte imbalances are more likely to be the cause.

Choice B rationale

Serum potassium levels should be prioritized as vomiting and diarrhea can lead to significant potassium loss, which can result in dangerous cardiac and neuromuscular symptoms. Assessing potassium levels is crucial in this scenario.

Choice C rationale

Lipid profile is not relevant in the acute assessment of severe vomiting, diarrhea, and lightheadedness. This test is more useful for long-term cardiovascular risk assessment.

Choice D rationale

Thyroid function tests are not immediately relevant to the acute symptoms of vomiting and diarrhea with lightheadedness. Electrolyte imbalances are a more immediate concern.

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Correct Answer is C

Explanation

Choice A rationale

Hypertension is not a typical finding associated with community-acquired pneumonia. The condition more commonly presents with respiratory symptoms such as cough, fever, and difficulty breathing.

Choice B rationale

Unequal pupils are not a common finding in community-acquired pneumonia and could indicate a neurological issue or head injury, which would require further investigation.

Choice C rationale

Confusion, particularly in older adults, can be a symptom of community-acquired pneumonia. It is often due to hypoxia or systemic inflammation and is a sign of a more severe infection.

Choice D rationale

Tympany upon chest percussion is not expected in pneumonia. Pneumonia typically presents with dullness on percussion due to the consolidation of lung tissue, not the hyperresonance that causes tympany.

A. Increase the client's fluid intake to prevent dehydration. B. Administer prescribed diuretics to reduce fluid overload. C. Apply warm compresses to the lower extremities to reduce edema. D. Encourage the client to ambulate to improve circulation.

Correct Answer is B

Explanation

Choice A rationale

Increasing fluid intake is contraindicated in clients with fluid overload, such as those with bilateral lower extremity edema and lung crackles. It can worsen the condition.

Choice B rationale

Administering prescribed diuretics is the priority intervention to reduce fluid overload in clients with heart failure post-STEMI. It helps to decrease edema and pulmonary congestion.

Choice C rationale

Applying warm compresses to the lower extremities may provide temporary relief but does not address the underlying issue of fluid overload.

Choice D rationale

Encouraging ambulation is beneficial for overall health but is not a priority intervention for managing fluid overload in this context. .

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A client was seen in the emergency room with a complaint of severe episodes of vomiting and diarrhea, and complains of feeling lightheaded.Which laboratory test should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A client was seen in the emergency room with a complaint of severe episodes of vomiting and diarrhea, and complains of feeling lightheaded.
Which laboratory test should the nurse prioritize?