Question

Use the values provided to complete the questions below.

a. What values are out of range?

b. Are they high or low?

c. Which abnormal value concerns you the most?

d. What nursing assessments must you perform because of this?

e. What priority nursing intervention would you anticipate? Why?

Test	Value
Glucose	83
BUN	14
Creatinine	0.7
Sodium	133
Potassium	6.1
Chloride	111
CO2	24

Answer 1

a.The values whicj are out of range are as following

• Sodium
• Potassium
• Chloride

b.The sodium leveis are decreased or low (135_145 mEq/L)

The potassium levels is ver high or increased (3.6_5.2 mEq/L

The chloride level is decreased (97_107 mEq/L)

c.The level of potassium is dangerously high which can cause cardiac arrest. So this a great concern which has to be addressed immediately.

The level of sodium is decreased below the normal range them it can cause confusion so this also should be addressed.

d.The nursing assessment to be done are

• Assess the neurological status of the patient
• Monitor vital signs
• Monitor or assess ECG reading for any changes ,arrythmia
• The amount of urine output
• Assess the gastrointestinal tract fir any nause or vomiting
• Rule out muscle cramps or twitching
• General assessment for weakness

e.The priority nursing interventions is to administer intravenous fluid therapy containing sodium chloride to increase the level of decreased sodium and chloride level

Calcium gluconate ,insulin therapy with glucose to reduce the level of potassium

No potassium rich foods or supplements as this can further increase its ranges.