A charge nurse is reviewing morning laboratory reports for clients on the unit. The charge nurse should recognize that which of the following laboratory findings is the priority to report to the provider?

A client who has an INR of 5.2.

A client who has a BUN of 21 mg/dL.

A client who has a hemoglobin of 19 g/dL.

A client who has a fasting glucose level of 69 mg/dL.

Answer and Explanation

The Correct Answer is A

A. An INR of 5.2 is critically elevated and places the client at risk for spontaneous bleeding. This requires immediate provider notification and intervention.
B. A BUN of 21 mg/dL is slightly above the normal range (7–20 mg/dL) and is not immediately life-threatening.
C. A hemoglobin of 19 g/dL is elevated and may indicate dehydration or polycythemia, but it is not the most urgent value.
D. A fasting glucose of 69 mg/dL is slightly below normal but not critical and can typically be corrected with a snack or meal.

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Correct Answer is D

Explanation

A.Reporting changes in breathing or mental status is appropriate, as these can be signs of worsening illness or diabetic ketoacidosis.
B.Contacting the provider for a persistent fever despite treatment is appropriate and shows good understanding of when to seek medical help.
C.Promoting hydration with sugar-free fluids every 30 minutes is appropriate during illness to help prevent dehydration and manage blood glucose levels.
D.Checking blood glucose only twice a day is insufficient during illness. Children with type 1 diabetes should have their blood glucose monitored more frequently—usually every 3 to 4 hours—when sick, due to the risk of hyperglycemia or hypoglycemia.

A. Administer glucagon for hyperglycemia. B. Take glyburide with breakfast. C. Obtain an influenza vaccine annually. D. Inject insulin in the deltoid muscle.

Correct Answer is C

Explanation

A.Glucagon is used to treat severe hypoglycemia, not hyperglycemia.
B.Glyburide is an oral antidiabetic medicationused to treat type 2 diabetes and is not appropriate for individuals with type 1 diabetes.
C.Annual influenza vaccination is recommended for individuals with type 1 diabetes, as they are at increased risk for complications from influenza.
D.Insulin should be injected into subcutaneous tissue, commonly in areas like the abdomen or thigh—not into the deltoid muscle.

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A charge nurse is reviewing morning laboratory reports for clients on the unit. The charge nurse should recognize that which of the following laboratory findings is the priority to report to the provider?

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