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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Explanation:
A. Oral aspirin undergoes the first-pass effect.
B. Oral acetaminophen undergoes the first-pass effect.
C. Fentanyl administered via a transdermal patch bypasses the first-pass effect because it is absorbed through the skin directly into the bloodstream.
D. Dulcolax administered rectally as a suppository bypasses the first-pass effect.
E. Morphine administered intravenously bypasses the first-pass effect.
Correct Answer is A
Explanation
A. A yellow wound color indicates the presence of slough, which is nonviable tissue that needs to be removed to promote healing. Treatment typically involves debridement of the nonviable tissue followed by application of a moist wound dressing.
B. No treatment is not appropriate for a wound with yellow color indicating the presence of nonviable tissue.
C. Barrier cream and foam dressing may be appropriate for protecting intact skin or managing moisture, but they do not address the underlying issue of nonviable tissue.
D. Enhancing air circulation may be beneficial for some wounds, but it does not specifically address the presence of nonviable tissue in the wound.
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