A nurse is caring for a client who is scheduled for a surgical procedure

Exhibits

Select the 4 findings that require immediate follow-up.

Latex allergy

Hct level

Prothrombin time

WBC count

Preoperative medication

History of weekly exercise

Answer and Explanation

Correct Answer : B,C,D,E

A.   Although important, the client's allergy to latex might have been already noted, and it may not require immediate follow-up at this moment.
B.   A hematocrit of 37% is at the lower end of the normal range (37% to 47%). However, before a surgical procedure, it's crucial to ensure the client's blood volume is adequate, hence requiring immediate follow-up.
C.   A prothrombin time of 21 seconds (normal range: 11 to 12.5 seconds) indicates potential issues with blood clotting and requires prompt attention before surgery.
D.   A white blood cell count of 12,000/mm3 (normal range: 5,000 to 10,000/mm3) suggests an elevated count, which may indicate an infection or an inflammatory response, requiring immediate follow-up.
E.   The recent intake of aspirin (80 mg) might affect the client's clotting ability. It's essential to address this before the surgical procedure.
F.   While exercise history is relevant for overall health assessment, it may not require immediate action before the surgical procedure, considering other critical factors in the scenario.

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Correct Answer is B

Explanation

A. Respiratory rate is part of vital signs assessment but is not typically included in anthropometric measurements.
B. Weight is a key component of anthropometric assessment, measuring body mass or body weight.
C. Level of orientation pertains to the client's mental status and cognitive functioning, not part of anthropometric measurements.
D. Current pain level is important but not directly related to anthropometric measurements.

A. "Maintain a lean body mass." B. "Walk for 30 minutes three to five times each week." C. "Increase intake of vitamin B12." D. "Perform water aerobics three times each week."

Correct Answer is B

Explanation

A. Maintaining a lean body mass can be beneficial but may not directly prevent osteoporosis.
B. Weight-bearing exercises, such as walking, are known to help maintain bone density and prevent osteoporosis.
C. While vitamin B12 is essential for health, it's not specifically linked to osteoporosis prevention.
D. Water aerobics are good for overall fitness but might not have the same impact on bone health as weight-bearing exercises.

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A nurse is caring for a client who is scheduled for a surgical procedure Exhibits Select the 4 findings that require immediate follow-up.

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A nurse is caring for a client who is scheduled for a surgical procedure

Exhibits

Select the 4 findings that require immediate follow-up.