A nurse is caring for a client who has a diagnosis of alcohol withdrawal. Which serum laboratory value validates the client's admitting diagnosis? A serum:
magnesium of 1.8 mEq/L
potassium 3.6 mEq/L
calcium of 8.7 mg/dL
phosphorus of 1.2 mg/dl.
The Correct Answer is A
Choice A rationale: A serum magnesium level of 1.8 mEq/L is lower than the normal range and can be associated with alcohol withdrawal.
Choice B rationale: Potassium level within the normal range is not specifically indicative of alcohol withdrawal.
Choice C rationale: Calcium level within the normal range is not specifically indicative of alcohol withdrawal.
Choice D rationale: Phosphorus level within the normal range is not specifically indicative of alcohol withdrawal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Suctioning is not typically performed as part of routine pulmonary nursing care every eight hours. It is indicated based on the client's clinical need.
Choice B rationale: Suctioning frequency should be determined by the client's condition and physician's orders, not a fixed hourly schedule.
Choice C rationale: Routine coughing and swallowing of sputum do not necessarily warrant suctioning. Suctioning is indicated when the client is unable to manage secretions effectively.
Choice D rationale: Suctioning is appropriate when the client has gurgling respirations and is unable to cough effectively, indicating the need to clear the airway.
Correct Answer is C
Explanation
Choice A rationale: Pulling the auricle up and back is the correct procedure for adults when administering ear drops.
Choice B rationale: Having the client pull down on the earlobe is not the correct procedure for administering ear drops in adults.
Choice C rationale: Pulling the auricle up and back is the appropriate technique for adults to straighten the ear canal for proper administration.
Choice D rationale: Warming ear drops in the microwave is not recommended; medications should be administered at room temperature.
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