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

The prescribed dose of 400 mg every 8 hours falls within the recommended safe range of 1500 mg per day (500 mg per dose). It is safe to administer.

A. Auscultate breath sounds B. Stop the feedings C. Obtain a chest x-ray D. Initiate antibiotic therapy

Correct Answer is B

Explanation

a) Auscultate breath sounds: While auscultating breath sounds may reveal signs of aspiration (e.g., crackles), stopping the feedings is the immediate priority to prevent further aspiration and reduce the risk of complications like aspiration pneumonia.

b) Stop the feedings: The highest priority is to stop the enteral feedings immediately to prevent further aspiration and potential damage to the lungs, followed by further assessments.

c) Obtain a chest x-ray: A chest x-ray can confirm the presence of aspiration or pneumonia but is not the immediate priority. Stopping the feedings is more urgent.

d) Initiate antibiotic therapy: Antibiotics may be needed if aspiration pneumonia is suspected, but they should not be the first intervention. Stopping the feedings and assessing the patient should be done first.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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