a nurse is reviewing a clients lab results which of the following lab values should the nurse report to the provider

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN

1. A healthcare provider is reviewing a client's lab results. Which of the following lab values should the provider report?

A. Magnesium 1.9 mEq/L
B. Potassium 3.6 mEq/L
C. Sodium 126 mEq/L
D. Chloride 99 mEq/L

Correct answer: C

Rationale: The correct answer is C: Sodium 126 mEq/L. A sodium level of 126 mEq/L is below the normal range, indicating hyponatremia, which can have serious health implications and should be reported to the healthcare provider for further evaluation and intervention. Choices A, B, and D are within or close to the normal ranges for magnesium, potassium, and chloride, respectively, and do not require immediate reporting as they are not significantly abnormal.

2. A nurse is teaching a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction?

A. I will not use hairspray if I am wearing the hearing aids
B. I will clean the hearing aids with alcohol wipes
C. I will change the batteries once a week
D. I will expect the hearing aids to whistle when I cup my hand over them

Correct answer: B

Rationale: The correct answer is B because cleaning the hearing aids with alcohol wipes can damage them. It is important to use specialized cleaning tools or follow specific cleaning instructions provided by the manufacturer to prevent harm to the hearing aids. Choices A, C, and D demonstrate good understanding and appropriate care for hearing aids, indicating that the client does not need further instruction in those areas.

3. A nurse is planning preoperative care for a client who will undergo surgery. Which of the following is the priority action by the nurse?

A. Discuss whether family members will assist with postoperative care
B. Review the client's current home environment
C. Identify the client's usual coping mechanisms
D. Determine what the client knows about the surgery

Correct answer: D

Rationale: In the preoperative phase, determining what the client knows about the surgery is the priority. This action helps address misconceptions, provide necessary information, and ensure the client's understanding and cooperation. Choices A, B, and C are important aspects of preoperative care but assessing the client's knowledge about the surgery takes precedence to alleviate fears, enhance communication, and optimize outcomes.

4. What is the most appropriate action for handling hazardous drugs?

A. Wear gloves and wash hands after handling.
B. Store the drugs according to manufacturer instructions.
C. Discard unused drugs in regular trash.
D. Wear personal protective equipment (PPE) when handling hazardous drugs.

Correct answer: D

Rationale: The most appropriate action when handling hazardous drugs is to wear personal protective equipment (PPE) to protect oneself from exposure to the harmful substances. Gloves and handwashing are important but may not provide sufficient protection from hazardous drugs. Storing drugs correctly and disposing of unused drugs properly are also essential, but the primary focus should be on using PPE to prevent exposure.

5. How should a healthcare professional manage a patient with a chest tube?

A. Ensuring the chest tube is secured properly and functioning
B. Checking for air leaks and ensuring drainage is working
C. Ensuring chest tube drainage is below chest level
D. Ensuring proper documentation of chest tube output

Correct answer: D

Rationale: Proper documentation of chest tube output is crucial in the care of a patient with a chest tube. While ensuring the chest tube is secured and functioning, checking for air leaks, and maintaining drainage below chest level are important aspects of care, documentation of output is essential for monitoring the patient's condition, assessing the effectiveness of treatment, and ensuring appropriate interventions if needed.