A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?

Platelets 110,000 mm3

WBC 8,000 mm3

Hemoglobin 13.0 g/dL

RBC 4.6 million/mm3

Answer and Explanation

The Correct Answer is A

A. Platelets 110,000 mm³ – Correct Answer. A low platelet count (thrombocytopenia) increases the risk of bruising and bleeding. Normal platelet range is 150,000–400,000 mm³.

B. WBC 8,000 mm³ – Normal white blood cell count; does not explain increased bruising.

C. Hemoglobin 13.0 g/dL – Normal hemoglobin level; not related to bruising.

D. RBC 4.6 million/mm³ – Normal RBC count; does not indicate a bleeding risk.

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Correct Answer is C

Explanation

A. Encourage the patient to ask for assistance. – Patients with Alzheimer's often forget to ask for help, making this an unreliable safety measure.

B. Keep the call light near the patient. – The patient may not remember to use the call light.

C. Place the patient in a room close to the nurses' station. – Correct Answer. This allows frequent observation and quick intervention to prevent falls.

D. Remind the patient to walk with someone for support. – Reminders may not be effective due to memory impairment.

A. Improve venous circulation and prevent VTE formation B. Prevent flexion and contractures of the extremities C. Decrease the development of a paralytic ileus D. Prevent the development of pressure ulcers

Correct Answer is D

Explanation

A. Improve venous circulation and prevent VTE formation. – Incorrect. While repositioning does help with circulation, it is primarily done to prevent pressure injuries.

B. Prevent flexion and contractures of the extremities. – Incorrect. Contracture prevention is important, but passive ROM exercises are more effective for this purpose.

C. Decrease the development of a paralytic ileus. – Incorrect. Paralytic ileus is managed through bowel programs and early mobility, not repositioning alone.

D. Prevent the development of pressure ulcers. – Correct Answer. Paralyzed patients are at high risk for pressure ulcers, especially over bony prominences like the sacrum. Repositioning reduces prolonged pressure, which can lead to skin breakdown.

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A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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