NCLEX-RN Quiz
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PHYSIOLOGICAL INTEGRITY
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A 67-year-old client is admitted to an acute care unit with confusion and lethargy after starting hydrochlorothiazide 1 week ago. Vital signs: blood pressure 148/84 mm Hg, heart rate 88 beats/min, respiratory rate 16/min, oxygen saturation 97% on room air; assessment shows unsteady gait. Labs: sodium 118 mEq/L (135–145), potassium 3.6 mEq/L (3.5–5.0), serum osmolality 255 mOsm/kg (275–295). What is the PRIORITY action based on these lab results?
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