The charge nurse has stated a client has hyperkalemia and needs cardiac monitoring. The nurse noted which of following lab values?

Sodium 148

Potassium 3.1

Sodium 130

Potassium 5.7

Answer and Explanation

The Correct Answer is D

A. Sodium 148: This represents mild hypernatremia, but sodium levels are not the primary concern for cardiac monitoring.

B. Potassium 3.1: This is hypokalemia (low potassium), not hyperkalemia.

C. Sodium 130: This represents hyponatremia, which can cause neurological symptoms, not hyperkalemia.

D. Potassium 5.7: Hyperkalemia is defined as K⁺ >5.0 mEq/L. Levels above 5.5 can cause dangerous cardiac dysrhythmias, requiring ECG monitoring.

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Correct Answer is A

Explanation

A. "This test will inform your provider how your kidneys are functioning." Creatinine is a waste product from muscle metabolism and is excreted by the kidneys. Elevated creatinine levels indicate impaired kidney function.

B. "This test will inform your provider if you have a thyroid disorder." Thyroid disorders are typically diagnosed with TSH, T3, and T4 tests, not creatinine.

C. "This test will inform your provider if you have an infection." Infections are usually diagnosed with CBC (WBC count) or cultures, not creatinine.

D. "This test will inform your provider if you are anemic." Anemia is diagnosed with hemoglobin and hematocrit (H&H), not creatinine levels.

A. Distribution B. Excretion C. Metabolism D. Absorption

Correct Answer is A

Explanation

A. Distribution: Distribution refers to the movement of the drug from the bloodstream to tissues and organs. Poor circulation can impair drug distribution, leading to reduced effectiveness or toxic accumulation.

B. Excretion: Excretion is the elimination of drugs, primarily through the kidneys. While circulation plays a role, excretion is more directly affected by renal function.

C. Metabolism: Metabolism occurs primarily in the liver and is not the primary concern in a client with poor circulation.

D. Absorption: Absorption refers to how the drug enters the bloodstream, which is more dependent on the GI tract (oral meds) or injection site (IV, IM meds) rather than circulation.

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The charge nurse has stated a client has hyperkalemia and needs cardiac monitoring. The nurse noted which of following lab values?

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