Ati Lpn Med Surg Electrolyte Proctored Exam(Delaware College)
A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?
Explanation & Rationale
A. Elevated urine specific gravity indicates concentrated urine and some degree of dehydration, but it is not immediately life-threatening. B. Hypokalemia (potassium 2.5 mEq/L) is the priority finding. Potassium is critical for cardiac and neuromuscular function, and severe hypokalemia can lead to life-threatening arrhythmias, muscle weakness, or paralysis. Prompt recognition and intervention are essential. C. Blood glucose of 150 mg/dL is mildly elevated and not immediately dangerous in this context. D. A 3% weight loss indicates fluid loss and dehydration, but the immediate risk of hypokalemia outweighs the significance of gradual weight loss.
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