A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation. For which of the following results should the nurse notify the provider?
Hgb 12 g/dL
Platelet count 90,000/mm3
Hematocrit 37%
Creatinine 0.7 mg/dL
The Correct Answer is B
A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as
preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.
C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Frequently reminding the client of behavioral expectations may agitate or escalate the client further, as individuals experiencing mania may already have difficulty with impulse control and irritability.
B. Encouraging the client to participate in a group activity can help redirect excess energy and provide a structured outlet for social interaction. Group activities can also help decrease isolation and provide opportunities for the client to engage in appropriate behaviors.
C. Allowing the client to pick her own clothing is generally appropriate and promotes autonomy, but it may not directly address the symptoms of mania.
D. While physical activity can be beneficial for individuals with bipolar disorder, encouraging increased physical activity during a manic episode may exacerbate symptoms or lead to overexertion.
Correct Answer is C
Explanation
A. Incorrect. This response dismisses the client's concerns and does not acknowledge the distress the client may be experiencing.
B. Incorrect. While it's true that paranoia is a common symptom of schizophrenia, stating that it is "normal" may invalidate the client's feelings and does not address the underlying distress. C. Correct. This response validates the client's feelings and demonstrates empathy by acknowledging the distress associated with the belief that government agents are after them.
D. Incorrect. While medication management is important in the treatment of schizophrenia, this response does not address the client's immediate concerns or validate their feelings of persecution.
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