hard · NCLEX-RN Reduction of Risk Potential

A nurse calculates the anion gap for a client with the following laboratory values: Sodium 138 mEq/L, Chloride 102 mEq/L, and Bicarbonate 18 mEq/L.

Using the formula AG = Na - (Cl + HCO_3), what is the result and the clinical priority?

  1. The anion gap is 54 mEq/L, representing a critical error in specimen collection.
  2. The anion gap is 12 mEq/L, which is within the normal reference range.
  3. The anion gap is 22 mEq/L, suggesting a primary respiratory alkalosis.
  4. The anion gap is 18 mEq/L, indicating an increased gap metabolic acidosis.

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