Free NCLEX RN Practice Test Practice Question

The nurse caring for a client diagnosed with metastatic cancer of the bone is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?

Correct Answer: B

Rationale: In cases of metastatic bone cancer, hypercalcemia is a common complication due to the release of calcium from the bones into the bloodstream. A calcium level of 13 mg/dL indicates hypercalcemia, which can cause symptoms such as mental confusion and elevated blood pressure.

Option A, potassium at 5.2 mEq/L, is within a normal range and does not directly relate to the symptoms presented. Option C, inorganic phosphorus at 1.7 mEq/L, is low and typically does not correlate with the symptoms of confusion or hypertension. Option D, sodium at 138 mEq/L, is also within normal limits and does not explain the client's condition. Thus, hypercalcemia is the most relevant laboratory finding in this scenario.

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