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RN Adult Medical Surgical Online Med-Surg Practice A 2021

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1. A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? Calcium- A client who has pancreat... itis is expected to have decreased calcium and magnesium levels due to fat necrosis 2. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratoryfindings should the nurse expect? BUN 32 mg/dL- DKA results in osmotic diuresis and subsequent dehydration. The nurse should expect a client who has DKA to have elevated BUN, creatinine, and specific gravity levels resulting from the excess glucose present in the urine The nurse should expect a client who has DKA to have a pH level less than 7.35 due to the increased production of ketones, which results in metabolic acidosis. The client might exhibit Kussmaul respirations, which are deep and rapid respirations that compensate for the decreased pH. Sodium bicarbonate is administered for severe acidosis when the client's pH level is less than 7 The nurse should expect a client who has DKA to have an HCO3- less than 15 mEq/L. This decreased value is due to an increased production of ketones, resulting in metabolic acidosis. [Show More]

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