/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 2 A client with cancer is admitted... [FREE SOLUTION] | ÷ÈÓ°Ö±²¥

÷ÈÓ°Ö±²¥

A client with cancer is admitted to the oncology unit. Stat lab values reveal \(\mathrm{Hgb}\) 12.6, WBC 6500 , \(\mathrm{K}+1.9\), uric acid 7.0, \(\mathrm{Na}+136\), and platelets 178,000 . The nurse evaluates that the client is experiencing which of the following? A. Hypernatremia B. Hypokalemia C. Myelosuppression D. Leukocytosis

Short Answer

Expert verified
Answer: B. Hypokalemia

Step by step solution

01

List the normal range values for each lab result

For this step, list the normal ranges for each lab value, which are: - Hemoglobin (Hgb): 12 - 17 g/dL (male) or 11 - 15 g/dL (female) - White blood cells (WBC): 4,500 - 11,000 cells/mcL - Potassium (K+): 3.5 - 5.0 mEq/L - Uric acid: 3.4 - 7 mg/dL (male) or 2.4 - 6 mg/dL (female) - Sodium (Na+): 135 - 145 mEq/L - Platelets: 150,000 - 450,000/mcL
02

Compare the client's lab values with the normal ranges

In this step, compare the given lab values to the normal ranges: - Hemoglobin (Hgb): 12.6 (normal range) - White blood cells (WBC): 6,500 (normal range) - Potassium (K+): 1.9 (below normal range) - Uric Acid: 7.0 (borderline high or within normal range) - Sodium (Na+): 136 (normal range) - Platelets: 178,000 (normal range)
03

Identify the condition based on lab value abnormalities

Based on the comparison in Step 2, we can determine which condition the client is experiencing: A. Hypernatremia – Elevated Sodium levels. (Client's Sodium level is within normal range) B. Hypokalemia – Low Potassium levels. (Client's Potassium level is below normal range) C. Myelosuppression – Decreased blood cell production. (Client's Hgb, WBC, and Platelets are within normal ranges) D. Leukocytosis – Increased WBC count. (Client's WBC count is within normal range) The only abnormal lab value is the client's potassium level, which is below the normal range. In this case, the client is experiencing Hypokalemia. So the correct choice is: B. Hypokalemia

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with ÷ÈÓ°Ö±²¥!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Hypokalemia
When we're talking about hypokalemia, we're referring to lower-than-normal levels of potassium in the bloodstream. Potassium is a crucial electrolyte that helps to regulate heart function, muscle contractions, and nerve signals.

A common cause for hypokalemia can include certain medications like diuretics, not consuming enough dietary potassium, or conditions that lead to increased potassium loss through the digestive tract or kidneys. Symptoms of hypokalemia can range from weakness and fatigue to serious complications such as arrhythmias, which can be life-threatening.

For nursing students preparing for the NCLEX-PN, it's essential to remember that recognizing and treating imbalances like hypokalemia are critical for patient care. Intervention may include dietary adjustments, supplements, or changes in medication. Monitoring of potassium levels is typically carried out through blood tests, which brings us to the importance of lab values interpretation.
Lab Values Interpretation
Lab values interpretation is a key skill for nurses, providing the foundation to recognize, prioritiate, and address patient health issues. These values offer a snapshot of a patient's health status and can indicate a range of health problems.

As shown in the exercise, proper interpretation involves first knowing the standard reference ranges for each lab value, which can differ based on the lab and patient's demographic. Comparison between the patient's results and the normal ranges leads to a clinical judgement. For instance, a potassium level of 1.9 mEq/L, as seen in the NCLEX-PN practice question, is well below the standard range of 3.5 - 5.0 mEq/L, indicating hypokalemia.

Nurses must be adept at both interpreting these lab values and understanding the appropriate interventions to correct any abnormalities. It means staying vigilant for signs that might require urgent responses, such as the arrhythmias that can accompany severe hypokalemia.
Oncology Nursing
Oncology nursing is a specialized area of nursing that involves caring for patients with cancer. Nurses in this field must possess deep knowledge about cancer's physical manifestations, understand complex treatment modalities, and exhibit compassionate communication skills.

As the exercise illustrates, oncology nurses must pay close attention to lab values, as imbalances may arise due to the disease itself or as side effects of treatments, such as chemotherapy. Recognizing the signs of complications such as hypokalemia is part of effective oncology nursing, along with providing supportive care, symptom management, and patient education.

Cancer treatments often put patients at a higher risk of developing other conditions, necessitating an oncology nurse's proficiency in lab value interpretation. Continuous assessment and a multi-disciplinary approach are vital, encompassing everything from medication administration to providing emotional support to patients and their families.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

Which action by the novice nurse indicates a need for further teaching? A. The nurse fails to wear gloves to remove a dressing. B. The nurse applies an oxygen saturation monitor to the ear lobe. C. The nurse elevates the head of the bed to check the blood pressure. D. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.

Which of the following roommates would be best for the client newly admitted with gastric resection? A. A client with Crohn's disease B. A client with pneumonia C. A client with gastritis D. A client with phlebitis

The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect: A. In 5-10 minutes B. In 10-20 minutes C. In 30-60 minutes D. In 60-120 minutes

The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding? A. Assess for tube placement by aspirating stomach content B. Place the patient in a left-lying position C. Administer feeding with \(50 \% \mathrm{H}_2 \mathrm{O}\) concentration D. Ensure that the feeding solution has been warmed in a microwave for 2 minutes

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect? A. The client is observed shaving only one side of his face. B. The client is unable to distinguish between two tactile stimuli presented simultaneously. C. The client is unable to complete a range of vision without turning his head side to side. D. The client is unable to carry out cognitive and motor activity at the same time.

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.