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A nurse is reviewing the preadmission laboratory test results of a client who is scheduled for a carotid endarterectomy in 3 days. Which of the following results should the nurse report to the provider?

Chloride 105 mEq/L

Calcium 9.6 mEq/L

Sodium 151 mEq/L

Potassium 3.8 mEq/L

Answer and Explanation

The Correct Answer is C

Rationale:

A. Chloride 105 mEq/L is within the normal range (98–106 mEq/L) and does not require reporting.

B. Calcium 9.6 mEq/L is a normal calcium level (normal range: 8.5–10.5 mEq/L).

C. Sodium 151 mEq/L is above the normal sodium range (135–145 mEq/L) and indicates hypernatremia. This could affect neurological function and fluid balance, especially important to correct prior to surgery.

D. Potassium 3.8 mEq/L is within the normal range (3.5–5.0 mEq/L).

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Correct Answer is B

Explanation

Rationale:
A. Introducing a regular diet is important but not the immediate priority in severe diarrhea.
B. Rehydration is the most critical initial step to prevent or treat dehydration and shock.
C. Maintaining fluid therapy is important after rehydration is initiated but not the first action.
D. Assessing fluid balance is necessary but secondary to initiating rehydration.

A. decreased PaCO2 B. Increased PaCO2 C. Increased HCO3 D. decreased pH

Correct Answer is C

Explanation

Rationale:
A. Decreased PaCO₂ occurs in respiratory alkalosis, not metabolic alkalosis.
B. Increased PaCO₂ may occur as compensation, but in uncompensated metabolic alkalosis, this has not yet occurred.
C. In metabolic alkalosis, especially from vomiting (loss of gastric acid), there is a primary increase in bicarbonate (HCO₃⁻).
D. Decreased pH is associated with acidosis, not alkalosis.

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A nurse is reviewing the preadmission laboratory test results of a client who is scheduled for a carotid endarterectomy in 3 days. Which of the following results should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the purse's priority?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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