The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

chloride 100 mEq/L

hematocrit 44%.

potassium 3.2 mEq/L

sodium 142 mEq/L

Answer and Explanation

The Correct Answer is C

A. A chloride level of 100 mEq/L is within the normal range and may not require immediate attention.

B. A hematocrit of 44% is within the normal range and may not require immediate attention.

C. A potassium level of 3.2 mEq/L is below the normal range (3.5-5.0 mEq/L) and requires immediate attention as it may indicate hypokalemia, which can be a serious side effect of diuretic therapy.

D. A sodium level of 142 mEq/L is within the normal range and may not require immediate attention.

Nursing Test Bank

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Correct Answer is ["A","B","D"]

Explanation

A. Monitoring intake and output is important in assessing renal function and fluid balance.

B. Assessing the client for muscle weakness is crucial as hyperkalemia can lead to neuromuscular complications.

C. Encouraging intake of potassium-rich foods is contraindicated in hyperkalemia as it can further increase potassium levels.

D. Obtaining a physician's order for cardiac monitoring is a high priority as hyperkalemia can lead to cardiac dysrhythmias.

E. Diluting potassium elixir prior to IV administration is not relevant in this scenario.

A. usual nutritional intake. B. degree of physical activity. C. skin exposure to moisture. D. food and drug allergies. E. ability to respond to pressure-related discomfort.

Correct Answer is ["A","B","C","E"]

Explanation

A. Assessing usual nutritional intake helps identify potential risk factors for poor wound healing and pressure injury development.

B. Assessing the degree of physical activity helps determine the client's mobility level and risk for pressure injuries.

C. Assessing skin exposure to moisture helps identify potential areas of skin breakdown and pressure injury development.

D. While important, assessing food and drug allergies is not directly related to pressure injury risk reduction.

E. Assessing the client's ability to respond to pressure-related discomfort helps identify clients who may be at increased risk for pressure injuries due to decreased mobility or sensory deficits.

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The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the high priority Intervention(s) for this client is/are to: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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