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A client is admitted to the emergency department with a loss of consciousness with unknown etiology. The nurse expects to perform which laboratory test to assist in determining etiology?

Total cholesterol
Alkaline phosphatese
Serum glucose
Urinalysis

User Phen
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Final answer:

A serum glucose test is typically performed in the emergency department for a patient with a loss of consciousness to determine if hypoglycemia is the cause. This test, along with assessments of neurological functions, provides immediate information for a rapid diagnosis and treatment.

Step-by-step explanation:

When a client is admitted to the emergency department with loss of consciousness with unknown etiology, a serum glucose test is commonly performed to help determine the possible causes. This condition could be due to a variety of reasons, including metabolic disturbances like hypoglycemia, which might cause loss of consciousness. Measuring the serum glucose can quickly identify if low blood sugar is the issue. Other tests that could be performed depending on clinical suspicion include urinalysis, complete metabolic panel, and serological tests, but for an immediate assessment of a possible rapid-onset cause such as hypoglycemia, the serum glucose level is essential.

Other factors like neurological function are key in the assessment as well and might include tests for reflexes, sensory responses, and motor control. Rapid assessment and treatment are crucial for conditions that cause loss of consciousness, and this may involve interventions like aspirin therapy if a stroke or clot is suspected. Nevertheless, the initial laboratory test to assist in determining the cause would be a serum glucose check.

User Sheehan Alam
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