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A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

WBC 6,000/mm3

BUN 15 mg/dL

Hemoglobin 14 g/dL

Platelet count 60,000/mm3

Answer and Explanation

The Correct Answer is D

Rationale:

A. WBC 6,000/mm³ is within normal range and does not require follow-up.

B. BUN 15 mg/dL is within normal range and does not require follow-up.

C. Hemoglobin 14 g/dL is within normal range for most adults and does not require follow-up.

D. Platelet count 60,000/mm³ is significantly low and requires follow-up as it can increase the risk of bleeding during surgery.

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Correct Answer is A

Explanation

Rationale:

A. When opening a sterile package or tray, the top flap should be opened away from the body to prevent contamination from the nurse’s uniform. Opening the flap toward the body risks breaking sterile technique, which is especially critical during procedures like thoracentesis. This is a break in sterile field, and the nurse manager should intervene immediately to prevent potential infection.

B. Using clean gloves is appropriate for non-sterile tasks like discontinuing an IV infusion.

C.The telephone number is considered an acceptable identifier according to The Joint Commission if it is in the medical record and used in combination with another identifier (like full name or date of birth).

D. Emptying a colostomy pouch when it is one-third full is appropriate practice to prevent overflow and maintain hygiene.

A. Determine the social skills of the AP. B. Assess the AP's ability to follow the client's teaching plan. C. Provide a clear description of the task to the AP. D. Evaluate the ability of the AP to work with peers.

Correct Answer is C

Explanation

Rationale:

A. Determining social skills is not directly related to task delegation.

B. Assessing ability to follow the client's teaching plan is beyond the scope of AP duties.

C. Providing a clear description of the task ensures that the AP understands what is expected, which is essential for effective delegation.

D. Evaluating ability to work with peers is important but not the primary focus for task delegation.

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A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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