PM
CARDIAC CASE STUDY NGN EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
A 49-year-old client is seen in clinic for a Laboratory Value
follow-up visit since starting enalapril for Today's Result
primary hypertension at her last visit 1 Result From 1 Month Ago
month ago. She reports nausea and Reference Range
diarrhea for the past few weeks and is not Alanine aminotransferase (ALT)
sure what is causing these symptoms 17 U/L
because she has implemented various 19 U/L
lifestyle changes. She has a medical 4 to 36 U/L
history significant for dyslipidemia, which Aspartate aminotransferase (AST)
is treated with simvastatin, and type 2 20 U/L
diabetes mellitus, which is managed with 21 U/L
insulin. Since her last visit, she has 0 to 35 U/L
increased exercise, uses potassium Serum creatinine (Scr)
supplements instead of sodium when 0.9 mg/dL
cooking, and has eliminated alcohol. Vital 1.0 mg/dL
signs are temperature of 98.6°F (37°C), 0.5 to 1.1 mg/dL
heart rate of 80 beats per minute, Potassium
respiratory rate of 20 breaths per minute, 5.2 mEq/L
blood pressure of 126/78, and pulse 4.9 mEq/L
oximetry reading of 97%. 3.5 to 5.0 mEq/L
The patient developed HYPERKALEMIA As evidence by change in POTASSIUM
1/
3