Electrolytes Question #35

Question

The registered nurse is reviewing tasks to delegate. Which client may be safely delegated to unlicensed assistive personnel?

Answers

  1. A client who has been experiencing diarrhea and has a serum chloride level of 100 mEq/L
    • Rationale:
  2. A client with renal failure who has a serum magnesium level of 3.0 mEq/L
    • Rationale:
  3. A client who has experienced a fracture of the femur and has a serum phosphate of 5.0 mg/dl
    • Rationale:
  4. A client with dehydration who has a serum sodium level of 128mEq/L
    • Rationale:

Overview

Explanation

The correct answer is A. A client who has been experiencing diarrhea and has a serum chloride level of 100 mEq/L (normal serum chloride is 95 to 105 meq/l) can be safely delegated because 100 mEq/L is within the normal range. A normal serum magnesium level is 1.5 to 2.5 mEq/L. A magnesium level of 3.0 mEq/L is elevated and may occur in renal failure. Phosphate levels may be elevated with healing fractures. A phosphate level of 5.0 mg/dL is elevated. A normal serum phosphate is 2.8 to 4.5 mg/dL. A serum sodium level of 128 mEq/L is decreased and may be found with dehydration. A normal serum sodium is 135 to 145 mEq/L.

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

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