A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?

Correct Answer: B

Rationale: The correct answer is B: Potassium 5.8 mEq/L. In hypovolemia, there is a decrease in blood volume leading to electrolyte imbalances. Potassium levels outside the normal range can be life-threatening, causing cardiac arrhythmias. Therefore, a potassium level of 5.8 mEq/L is a priority to report to the provider for prompt intervention. Rationale for why the other choices are incorrect: A: BUN within the normal range. It may indicate dehydration but not immediately life-threatening. C: Creatinine slightly elevated, indicating kidney function impairment but not as critical as potassium imbalance. D: Sodium within acceptable range, not an immediate concern in hypovolemia.

Correct Answer: D

Rationale: The correct answer is D: Notify the nursing manager. The nurse should escalate the situation to the nursing manager because the surgeon's instructions may not be appropriate for a client in hemorrhagic shock. The nurse needs to advocate for the client's safety and ensure prompt and appropriate intervention. Consulting the charge nurse may not be sufficient, and documenting the instructions or completing an incident report does not address the immediate need for proper medical intervention.

Correct Answer: B

Rationale: The correct answer is B: Limit the client's time with visitors to no more than 30 minutes per day. This is the correct precaution because shigella is transmitted through fecal-oral route. By limiting the client's time with visitors, the risk of spreading the infection to others is minimized. Explanation for why other choices are incorrect: A: Having the client wear a mask when receiving visitors is not necessary for preventing the spread of shigella, as it is not transmitted through the air. C: Assigning the client to a room with negative-pressure airflow exchange is more suitable for airborne infections, not for shigella which is transmitted through fecal-oral route. D: While wearing a gown when caring for the client is a good infection control practice, it is not specifically indicated for preventing the spread of shigella through contact with visitors.

Correct Answer: A

Rationale: Rationale: Option A is correct because medication reconciliation involves comparing the client's home medications with the provider's prescriptions to ensure accuracy and prevent medication errors. This step helps identify discrepancies and allows for proper management of the client's medication regimen. Summary: - Option B is incorrect as it does not address the process of medication reconciliation. - Option C is incorrect as calling the pharmacy does not directly relate to verifying medication information. - Option D is incorrect as verifying the client's name on their identification bracelet does not specifically pertain to medication reconciliation.

Correct Answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public. The exam assesses if a candidate has the knowledge and skills necessary to provide safe and effective nursing care. It is designed to protect the public by ensuring that only competent individuals are granted nursing licensure. This is crucial in maintaining high standards of healthcare and safeguarding patients' well-being. Incorrect answers: A: Ensuring that individuals have passed nursing classes is not the main purpose of the NCLEX. Passing nursing classes is a prerequisite for taking the exam but not its primary goal. B: Providing assurance that nursing schools are part of the service agency is not the main purpose of the NCLEX. The exam focuses on individual competency rather than accrediting nursing schools. C: Enabling potential students to determine the best nursing schools is not the main purpose of the NCLEX. The exam does not rank or rate nursing schools; its primary aim is to evaluate individual readiness for nursing practice.