A lab technician calls to tell the nurse that their client's calcium level is 6.3 mg/dL. How will the nurse proceed with this information? (SELECT ALL THAT APPLY)

read back the calcium level result to the lab technician.

document the time the call was received & the lab technician's name and date of birth

report the elevated calcium level to the client's physician.

confirm the client's full name, date of birth, & medical record number with the lab technician.

document the low calcium level in the client's electronic medical record.

Answer and Explanation

Correct Answer : B,C,D

A. Reading back the calcium level result to the lab technician: Reading back results to the lab technician is a good practice to ensure accurate communication. The nurse verifies that they have received the correct information and confirms the accuracy of the result.

B. Document the time the call was received & the lab technician's name and date of birth. This was not selected because while documenting the time of the call and the lab technician's information may be useful for record-keeping purposes, it is not directly related to the immediate management of the client's low calcium level. Therefore, it is not essential to the immediate actions required in response to the lab result.

C. Reporting the elevated calcium level to the client's physician: An abnormally low calcium level (hypocalcemia) of 6.3 mg/dL requires prompt notification to the client's physician for further evaluation and intervention.

D. Confirming the client's full name, date of birth, & medical record number with the lab technician: Verifying the client's identity and medical record number ensures that the lab results are correctly matched to the right patient, minimizing the risk of errors in patient care.

E. Documenting the low calcium level in the client's electronic medical record: Documenting the calcium level in the client's electronic medical record ensures that the result is recorded for future reference and continuity of care. Accurate documentation is essential for tracking the client's health status and treatment outcomes.

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Correct Answer is B

Explanation

A. Lithotomy with a drape for privacy: The lithotomy position, where the client lies on their back with hips and knees flexed and legs supported in stirrups, is typically used for gynecological examinations or procedures. While this position provides access to the abdominal area, it is not typically used for routine abdominal assessments. Additionally, draping for privacy may not be necessary for a routine abdominal assessment.

B. Supine with arms at their sides: This is the most appropriate position for performing an abdominal assessment. In the supine position, the client lies on their back with arms at their sides, which allows for easy access to the abdomen. The supine position provides optimal relaxation of abdominal muscles and facilitates palpation and auscultation of abdominal organs.

C. Left decubitus: The left decubitus position, where the client lies on their left side with the right knee flexed, is sometimes used to facilitate gastric emptying and reduce gastroesophageal reflux. While this position may provide some access to the abdominal area, it is not typically used for routine abdominal assessments.

D. A position that feels most comfortable for the client: While it is essential to consider the client's comfort during any assessment, the position that feels most comfortable for the client may not always be the most suitable for performing an abdominal assessment. The supine position with arms at their sides is the standard position for abdominal assessments due to its ease of access and optimal relaxation of abdominal muscles.

A. hypovolemic shock. B. hemodilution. C. excess fluid volume. D. deficient fluid volume.

Correct Answer is C

Explanation

A. Hypovolemic shock: Hypovolemic shock is characterized by decreased blood volume, leading to inadequate tissue perfusion and oxygen delivery. The clinical findings described, such as sudden weight gain, bounding pulses, and elevated blood pressure, are not consistent with hypovolemic shock, which typically presents with hypotension, weak pulses, and signs of poor tissue perfusion.

B. Hemodilution: Hemodilution refers to a decrease in the concentration of blood components due to an increase in plasma volume. While weight gain may result from hemodilution, other clinical findings described, such as bounding pulses and elevated blood pressure, are not indicative of hemodilution.

C. Excess fluid volume: This is the correct answer. The sudden weight gain, bounding pulses, and elevated blood pressure suggest an excess of fluid volume. Bounding pulses can occur due to increased stroke volume from the heart pumping against increased volume, while elevated blood pressure can result from the increased fluid volume increasing cardiac output. Sudden weight gain is often attributed to fluid retention.

D. Deficient fluid volume: Deficient fluid volume, also known as dehydration, is characterized by insufficient fluid in the body. The clinical findings described, such as sudden weight gain and elevated blood pressure, are not consistent with deficient fluid volume. In dehydration, blood pressure tends to decrease rather than increase.

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A lab technician calls to tell the nurse that their client's calcium level is 6.3 mg/dL. How will the nurse proceed with this information? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

Which position would be appropriate for the nurse to perform an abdominal assessment?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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