A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide.

Which of the following findings should the nurse report to the provider?.

Potassium 2.3 mEq/L.

Chloride 99 mEq/L.

Sodium 136 mEq/L.

Calcium 10 mg/dL.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Potassium 2.3 mEq/L is below the normal range of 3.5 to 5.0 mEq/L1. Hydrochlorothiazide, a diuretic, can cause hypokalemia, which is a low level of potassium.
Choice B rationale:
Chloride 99 mEq/L is within the normal range of 96 to 106 mEq/L2, so it’s not a concern.
Choice C rationale:
Sodium 136 mEq/L is within the normal range of 135 to 145 mEq/L3, so it’s not a concern.
Choice D rationale:
Calcium 10 mg/dL is within the normal range of 8.6 to 10.2 mg/dL4, so it’s not a concern.

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Correct Answer is B

Explanation

Choice A rationale:
Placing the client back in bed during a seizure could potentially cause injury. The priority is to protect the client from harm during the seizure.
Choice B rationale:
Placing the client on his side, specifically the recovery position, helps keep the airway clear and prevents aspiration.
Choice C rationale:
Holding the client’s arms and legs from moving could cause injury. It’s important to let the seizure take its course while protecting the client from harm.
Choice D rationale:
Inserting a tongue blade or any other object in the client’s mouth during a seizure is not recommended. It could cause injury to the client or the nurse.

A. Determine if the client needs to continue IV therapy. B. Initiate a new IV line in the other extremity. C. Discontinue the existing IV line. D. Apply a hot pack to the irritated site.

Correct Answer is C

Explanation

Choice A rationale:
Determining if the client needs to continue IV therapy is important, but it is not the first action the nurse should take. The nurse should first address the immediate problem, which is the irritated IV site.
Choice B rationale:
Initiating a new IV line in the other extremity is necessary, but not the first action. The nurse should first discontinue the existing IV line to prevent further irritation or infection.
Choice C rationale:
The nurse should first discontinue the existing IV line. This is because the symptoms indicate that the client might have developed phlebitis, an inflammation of the vein, which requires immediate discontinuation of the IV line.
Choice D rationale:
Applying a hot pack to the irritated site can help reduce inflammation and discomfort, but it is not the first action. The nurse should first discontinue the IV line to prevent further complications.

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A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide.

Which of the following findings should the nurse report to the provider?.