A patient began to have hand and face tremors after being brought into the Emergency Department. Labs were immediately drawn on this patient. Which labs would most likely concern the nurse at this time?

Chloride 100 mEq/L

Sodium 138 mEq/L

Oc) Potassium 4.1 mEq/L

Magnesium 1.0 mEq/L

Answer and Explanation

The Correct Answer is D

a) Chloride 100 mEq/L: A chloride level of 100 mEq/L is within the normal range (98-107 mEq/L) and would not be concerning in this context.

b) Sodium 138 mEq/L: A sodium level of 138 mEq/L is within the normal range (135-145 mEq/L) and would not be concerning in this context.

c) Potassium 4.1 mEq/L: A potassium level of 4.1 mEq/L is within the normal range (3.5-5.0 mEq/L) and would not be concerning in this context.

d) Magnesium 1.0 mEq/L: A magnesium level of 1.0 mEq/L is low (normal range: 1.5-2.5 mEq/L), and low magnesium can cause neuromuscular symptoms such as tremors. This would be a concerning result in the context of the patient's hand and face tremors.

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Correct Answer is A

Explanation

a) Fecal Impaction: Seepage or leaking of liquid stool often occurs when a patient has a fecal impaction. The liquid stool may leak around the solid mass of stool that is impacted in the colon.

b) Urinary Incontinence: Urinary incontinence refers to the involuntary loss of urine, not stool.

c) Bowel and Bladder training program: While bowel and bladder training programs may be helpful for managing incontinence, they are not the immediate solution for fecal impaction.

A. shorter in length B. longer in length C. no connection with bladder D. has different innervation

Correct Answer is A

Explanation

a) Shorter in length: The female urethra is shorter than the male urethra, which makes it easier for bacteria to enter the bladder, increasing the risk of urinary tract infections. This difference is important when performing catheterization.

b) Longer in length: The male urethra is longer than the female urethra.

c) No connection with the bladder: Both the male and female urethras are connected to the bladder.

d) Has different innervation: While there are some differences in the innervation of male and female genital areas, the basic innervation of the urethra is similar for both sexes.

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