A nurse is reviewing the diagnostic test results of a female client who is about to undergo knee arthroplasty. Which of the following data collection findings should the nurse identify as the priority?
Creatinine 0.9 mg/dL
WBC count 20,000/mm3
Potassium 3.8 mEq/L
Hematocrit 40%
The Correct Answer is B
a. Creatinine 0.9 mg/dL: This creatinine level is within the normal range and is not an immediate priority for knee arthroplasty.
b. WBC count 20,000/mm3: An elevated white blood cell count suggests the presence of
infection or inflammation. In the context of knee arthroplasty, infection is a significant concern and requires immediate attention to prevent complications.
c. Potassium 3.8 mEq/L: This potassium level is within the normal range and is not an immediate priority for knee arthroplasty.
d. Hematocrit 40%: This hematocrit level is within the normal range and is not an immediate priority for knee arthroplasty. The elevated WBC count takes precedence as it suggests a
potential infectious process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Hypoglycemia: Hypokalemia is not typically associated with hypoglycemia.
b. Hyperreflexia: Hypokalemia can lead to decreased reflexes, not hyperreflexia.
c. Cardiac dysrhythmias: Hypokalemia can cause disturbances in cardiac conduction, potentially leading to dysrhythmias.
d. Increased appetite: Increased appetite is not a common manifestation of hypokalemia.
Correct Answer is C
Explanation
a. Bile: The guaiac test is not used to detect bile in the stool.
b. Lipids: The guaiac test is not used to detect lipids in the stool.
c. Blood: The guaiac test, also known as the fecal occult blood test (FOBT), is used to detect hidden (occult) blood in the stool. It is commonly used as a screening test for colorectal cancer.
d. Bacteria: The guaiac test is not used to detect bacteria in the stool.
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