A client with Crohn's disease has a draining fistula. Which finding leads the nurse to intervene most rapidly?
a. Serum potassium of 2.6 mEq/L
b. The client not wanting to eat anything
c. White blood cell count of 8200/mm3
d. The client losing 3 pounds in a week
A
Fistulas place the client with Crohn's disease at risk for hypokalemia, which can lead to serious dysrhythmias. This potassium level is low and should cause the nurse to intervene. The white blood cell count is normal. The other two findings are abnormal and also warrant intervention, but the potassium takes priority.
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