The nurse is caring for a client admitted with a diagnosis of acute kidney injury. When reviewing the client's most recent laboratory reports, the nurse notes that the client's magnesium levels are high. The nurse should prioritize assessment for what health problem?

Diminished deep tendon reflexes

Tachycardia

Cool, clammy skin

Acute flank pain

Answer and Explanation

The Correct Answer is A

A. Hypermagnesemia can cause neuromuscular depression, leading to diminished or absent deep tendon reflexes, muscle weakness, and potentially respiratory depression.
B. Tachycardia is less common; hypermagnesemia more often causes bradycardia.
C. Cool, clammy skin is nonspecific and not a primary sign of hypermagnesemia.
D. Acute flank pain is more related to renal calculi or infections, not directly to high magnesium levels.

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Correct Answer is D

Explanation

A. Red blood cell count can indicate oxygen-carrying capacity over time but does not directly assess current oxygenation status.
B. Sputum culture identifies pathogens in respiratory infections but does not evaluate oxygen levels.
C. Total hemoglobin reflects oxygen-carrying capacity but does not show whether the blood is actually oxygenated.
D. Arterial blood gas (ABG) analysis directly measures oxygen (PaO₂), carbon dioxide (PaCO₂), and pH levels in arterial blood, making it the most accurate and immediate test for evaluating hypoxia.

A. Laparoscopic cholecystectomy poses fewer surgical risks than an open procedure. B. Laparoscopic cholecystectomy can be performed in a clinic setting, while an open procedure requires an OR. C. A laparoscopic approach allows for the removal of the entire gallbladder. D. A laparoscopic approach can be performed under conscious sedation.

Correct Answer is A

Explanation

A. Laparoscopic cholecystectomy is less invasive, associated with fewer complications, shorter hospital stays, reduced postoperative pain, and quicker recovery — making it the preferred method.
B. It is not typically performed in a clinic setting; both laparoscopic and open procedures are done in an operating room.
C. Both procedures remove the entire gallbladder; the difference lies in the surgical approach, not the extent of removal.
D. General anesthesia is required for laparoscopic cholecystectomy, not conscious sedation.

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The nurse is caring for a client admitted with a diagnosis of acute kidney injury. When reviewing the client's most recent laboratory reports, the nurse notes that the client's magnesium levels are high. The nurse should prioritize assessment for what health problem?

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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