Nursing · NCLEX-RN

Nursing Lab Values: Chemistry Panel

Basic and comprehensive metabolic panel values with the nursing action triggered by an abnormal result, narrower than the general lab values deck.

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What is the normal serum sodium (Na+) range?
135 to 145 mEq/L
Priority nursing action for a client with hyponatremia?
Institute seizure precautions and monitor neurologic status
What is the normal serum potassium (K+) range?
3.5 to 5.0 mEq/L
Priority nursing action for a client with hyperkalemia?
Place the client on continuous cardiac monitoring and watch for peaked T waves
What is the normal serum chloride (Cl-) range?
96 to 106 mEq/L
Serum chloride levels typically rise and fall along with ____ levels.
sodium
What is the normal serum CO2 (bicarbonate) range?
23 to 29 mEq/L
A low bicarbonate level suggests metabolic acidosis. What should the nurse assess?
Respiratory pattern for Kussmaul breathing
A high bicarbonate level suggests metabolic alkalosis. What should the nurse monitor?
Slow, shallow respirations
What is the normal BUN (blood urea nitrogen) range?
7 to 20 mg/dL
Priority nursing action when BUN is elevated?
Assess hydration status and fluid intake before assuming kidney impairment
An elevated BUN can result from dehydration alone, without indicating ____.
kidney damage
What is the normal serum creatinine range?
0.6 to 1.2 mg/dL
What is the normal fasting blood glucose range?
70 to 99 mg/dL
Nursing action for a conscious client with hypoglycemia?
Give 15 grams of fast-acting carbohydrate and recheck glucose in 15 minutes

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