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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Accountability refers to the nurse's responsibility to provide safe and competent care, including administering medications accurately and documenting appropriately.
B. Autonomy refers to the client's right to make decisions about their own care, including whether or not to take prescribed medications.
C. Veracity refers to truthfulness and honesty in communication. By providing the client with accurate information about the purpose of the medication, the nurse is demonstrating veracity. D. Justice refers to fairness and equity in the distribution of resources and treatment. While ensuring access to necessary medications is important for justice, it is not directly related to the nurse's communication about the purpose of the medication.
Correct Answer is A
Explanation
Correct. This response provides reassurance and normalizes the client's experience by emphasizing that having a colostomy does not prevent individuals from leading fulfilling lives. B. Incorrect. While peer support can be beneficial, this response does not directly address the client's concerns or provide immediate reassurance.
C. Incorrect. This response may put the client on the spot and make them feel uncomfortable discussing their feelings. It's important to respect the client's privacy and autonomy in disclosing their reasons for not wanting others to see the colostomy bag.
D. Incorrect. Making assumptions about the temporary nature of the colostomy without medical confirmation may not be accurate and can contribute to false hope or disappointment if the client's colostomy is permanent. It's important to provide honest and accurate information while being supportive of the client's emotional needs.
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