A nurse is reviewing the laboratory results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?
WBC 5.200/mm3.
Hgb 14 g/dL.
Potassium 3.2 mEq/L.
Magnesium 1.6 mEq/L.
The Correct Answer is C
Choice A rationale:
A white blood cell (WBC) count of 5,200/mm3 is within the normal range, which typically varies but is approximately 4,500-11,000/mm3. This result indicates a normal immune response and does not require provider notification.
Choice B rationale:
A hemoglobin (Hgb) level of 14 g/dL falls within the normal range for adults, which is generally between 12-16 g/dL for women and 13.5-17.5 g/dL for men. This result is not a cause for concern, and the nurse does not need to notify the provider about it.
Choice C rationale:
A potassium (K+) level of 3.2 mEq/L is considered hypokalemia. The normal range for potassium is around 3.5-5.0 mEq/L. Hypokalemia can lead to cardiac dysrhythmias, muscle weakness, and other serious complications. The nurse should notify the provider to address this electrolyte imbalance promptly.
Choice D rationale:
A magnesium (Mg) level of 1.6 mEq/L is below the normal range of approximately 1.7-2.2 mEq/L. While mild hypomagnesemia might not require immediate intervention, it's important to monitor and potentially address this electrolyte imbalance, especially if the client's symptoms worsen. However, it does not warrant immediate notification of the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Hydrolyzed.
Choice A rationale:
A low-protein formula is not typically recommended for clients with inflammatory bowel disease (IBD). Protein is essential for healing and maintaining muscle mass, especially in patients with chronic conditions like IBD. Therefore, reducing protein intake could be detrimental to their overall health.
Choice B rationale:
High-fiber formulas are generally not suitable for IBD patients, particularly during flare-ups. High fiber can exacerbate symptoms like diarrhea and abdominal pain by increasing bowel movements and irritation in the intestines.
Choice C rationale:
Hydrolyzed formulas are appropriate for clients with IBD because they contain proteins that are broken down into smaller peptides or amino acids, making them easier to digest and absorb.This can help reduce the workload on the intestines and minimize symptoms like malabsorption and inflammation.
Choice D rationale:
A low-calorie formula is not ideal for IBD patients, who often need adequate caloric intake to maintain their weight and nutritional status. Malnutrition is a common concern in IBD, so ensuring sufficient calorie intake is crucial for these patients.
Correct Answer is B
Explanation
Choice A rationale:
Using a washcloth to clean denture surfaces is not the recommended method as it can lead to scratches on the dentures, making them more susceptible to bacterial growth and staining.
Choice B rationale:
Wiping dentures before storing them in a dry container at night is the correct choice. This practice helps remove debris and bacteria, preventing them from accumulating overnight. Storing dentures in a dry container helps maintain their shape and prevents the growth of microorganisms that thrive in moist environments.
Choice C rationale:
Flossing dentures is not necessary and may damage or distort them. Unlike natural teeth, dentures do not have interdental spaces that require flossing.
Choice D rationale:
Wrapping gloved fingers with gauze to remove dentures is not the best practice, as it may cause damage to the dentures and also increases the risk of contamination.
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