Hand Report From Question & Answer Guide (With Explanation)
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Original Question
0700: Hand-off report from the night nurse to the day nurse has been completed. The night nurse reports that the client prescriptions to treat DKA were implemented on the previous evening shift. The nurse also reports that the client had a comfortable night. Laboratory tests and VS were checked every 4 hours during the night and remained stable. The day nurse assesses the client and reviews the most current laboratory results. Health History Nurses’ Notes Lab Tests Diagnostic Tests Laboratory Test Current Results Normal Reference Range Glucose BUN 190 mg/dL (10.64 mmol/L) 18 mg/dL (5.22 mmol/L) 74-106 mg/dL (3.9-6.1 mmol/L) 10-20 mg/dL (2.9-8.2 mmol/L) Cr 1.2 mg/dL (106 mcmol/L) 0.6-1.2 mg/dL (53-106 mcmolL) K 4.0 mEg/L (4.0 mmol/L) 3.5-5.0 mEg/L (3.5-5.1 mmol/L) Na 150 mEg/L (150 mmol/L) H 136-145 mEg/L (136-145 mmol/L) Previous Client Finding Current Client Finding Effective Ineffective Glucose 240 mg/dL (12.6 mmol/L) Glucose 190 mg/dL (10.64 mmol/L) Potassium 4.0 mEg/L (4.0 mmol/L) Potassium 4.0 mEg/L (4.0 mmol/L) Urine output 200 mL/hr Urine output 45 mL/hr Na 150 mEq/L (150 mmol/L Na 150 mEq/L (150 mmol/L Which current client findings indicate that the treatment plan is effective? For each client finding, specify if the finding indicates that the treatment plan is Effective or Ineffective. • A. Effective: Glucose, Potassium Not Effective: Urine output, Sodium • B. Effective: Glucose, Potassium, Urine output. Not Effective: Sodium C. Effective: Glucose, Urine output. Not Effective: Potassium, Sodium
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