NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Question # 181 Topic 19 Discussion
NCLEX-RN Exam Topic 19 Question 181 Discussion:
Question #: 181
Topic #: 19
Blood work reveals the following lab values for a client who has been diagnosed with anorexia nervosa: hemoglobin 9.6 g/dL, hemocrit 27%, potassium 2.7 mEq/L, sodium 126 mEq/L. The greatest danger to her at this time is:
A.
Hypoglycemia from low-carbohydrate intake
B.
Possible cardiac dysrhythmias secondary to hypokalemia
(A) There is no lab data to support hypoglycemia. (B) Hypokalemia, caused by vomiting and decreased dietary intake of potassium, can result in life-threatening dysrhythmias. (C) Evidence of dehydration is not life threatening at this time, although fluid volume deficit does need to be addressed. (D) The client’s hemoglobin does not reflect a life threatening value sufficient to render the client anoxic.
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