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NCLEX-RN · Question #480
NCLEX-RN Question #480: Real Exam Question with Answer & Explanation
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Question
A 48-year-old client is in the surgical intensive care unit after having had three-vessel coronary artery bypass surgery yesterday. She is extubated, awake, alert and talking. She is receiving digitalis for atrial arrhythmias. This morning serum electrolytes were drawn. Which abnormality would require immediate intervention by the nurse after contacting the physician?
Options
- ASerum osmolality is elevated indicating hemoconcentration. The nurse should increase IV fluid
- BSerum sodium is low. The nurse should change IV fluids to normal saline.
- CBlood urea nitrogen is subnormal. The nurse should increase the protein in the client's diet as soon
- DSerum potassium is low. The nurse should administer KCl as ordered.
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