hard · NCLEX-RN Psychosocial Integrity

The nurse is reviewing the electronic health record of a 15-year-old client with anorexia nervosa who began nutritional rehabilitation 72 hours ago. Which of the following laboratory trends require immediate focused clinical intervention? Select all that apply.

  1. Serum phosphorus of 2.3 mg/dL (0.74 mmol/L) [Reference: 2.5–4.5 mg/dL (0.80–1.45 mmol/L)]
  2. Serum magnesium of 1.2 mg/dL (0.49 mmol/L) [Reference: 1.7–2.2 mg/dL (0.70–0.90 mmol/L)]
  3. Blood urea nitrogen (BUN) of 18 mg/dL (6.43 mmol/L) [Reference: 7–20 mg/dL (2.50–7.14 mmol/L)]
  4. Serum potassium of 3.2 mEq/L (3.2 mmol/L) [Reference: 3.5–5.0 mEq/L (3.5–5.0 mmol/L)]
  5. Serum calcium of 8.8 mg/dL (2.20 mmol/L) [Reference: 8.6–10.2 mg/dL (2.15–2.55 mmol/L)]

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