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A nurse is reviewing the laboratory values for a client who has heart failure and is taking bumetanide. For which of the following results should the nurse notify the provider?

A.

Calcium 10 mg/dL

B.

Sodium 136 mEq/L

C.

Potassium 2.3 mEq/L

D.

Magnesium 1.4 mEq/L

Answer and Explanation

The Correct Answer is C

A. Calcium 10 mg/dL: This calcium level is within the normal range (8.6-10.2 mg/dL) and does not require intervention.

 

B. Sodium 136 mEq/L: This sodium level is within the normal range (135-145 mEq/L).

 

C. Potassium 2.3 mEq/L: This potassium level is critically low; bumetanide is a loop diuretic that can cause hypokalemia, which can lead to dangerous cardiac dysrhythmias.

 

D. Magnesium 1.4 mEq/L: While slightly low, this magnesium level is only mildly decreased and not as immediately concerning as the potassium level.


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Correct Answer is D

Explanation

A. Partial thromboplastin time (PTT) 55 seconds: This PTT value is within the therapeutic range for a client on heparin therapy.

B. Hematocrit 45%: This hematocrit value is within normal limits and is not concerning.

C. White blood cell count 8,000/mm³: A WBC count of 8,000/mm³ is within the normal range and does not require reporting.

D. Platelets 74,000/mm³: A low platelet count (thrombocytopenia) can indicate heparin-induced thrombocytopenia (HIT), a potentially serious complication of heparin therapy.

Correct Answer is B

Explanation

A. Enriched cereal in whole milk. Whole milk is high in saturated fats, which the DASH diet aims to limit.

B. Turkey sandwich on whole wheat bread, green beans, and banana. This meal is balanced, low in saturated fats, high in fiber, and aligns well with the DASH diet principles.

C. Pork sausage and baked beans. Pork sausage is high in saturated fats and sodium, which should be limited in the DASH diet.

D. Hamburger, steak fries, and an orange. While the orange is DASH-friendly, the hamburger and fries are high in fats and sodium.

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