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A nurse is reviewing the laboratory results of a client who has HELLP syndrome. Which of the following findings should the nurse expect?

Hgb 13 g/dl

BUN 8 mg/dL

Bilirubin 1.8 mg/dL

Hct 38%

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A hemoglobin level of 13 g/dL is within the normal range and is not specifically indicative of HELLP syndrome.

Choice B rationale:

A blood urea nitrogen (BUN) level of 8 mg/dL is within the normal range and is not typically associated with HELLP syndrome.

Choice C rationale:

Elevated bilirubin levels are a characteristic feature of HELLP syndrome, which involves liver dysfunction.

Choice D rationale:

A hematocrit level of 38% is within the normal range and is not specifically indicative of HELLP syndrome.

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Correct Answer is B, A, E, C, D

Explanation

This sequence ensures proper identification, infection control, specimen collection, and safety for the newborn.

Choice A rationale:

The nurse should place a heel warmer on the newborn's heel for 3 to 5 minutes before the heelstick to increase blood flow and facilitate collection.

Choice B rationale:

The nurse should confirm the identity of the newborn before collecting any specimen to ensure patient safety and avoid errors.

Choice C rationale:

The nurse should apply pressure to the puncture site with a dry gauze pad to stop bleeding and promote clotting.

Choice D rationale:

The nurse should label the specimen per facility protocol to ensure accurate identification and processing.

Choice E rationale:

The nurse should clean the puncture site with an antiseptic cleanser to prevent infection and reduce contamination of the specimen.

A. Slurred speech B. Yellowed sclera C. Ulcers on the ankles D. Swelling in the joints

Correct Answer is A

Explanation

Choice A rationale:

Slurred speech could indicate a potential neurological complication in a client with sickle cell anemia, such as a stroke. Neurological symptoms require immediate attention and reporting to the healthcare provider.

Choice B rationale:

Yellowed sclera (jaundice) can be related to sickle cell anemia but is less acutely concerning than slurred speech.

Choice C rationale:

Ulcers on the ankles are often associated with sickle cell anemia, but they are not as urgent as neurological symptoms.

Choice D rationale:

Swelling in the joints is a potential manifestation of sickle cell anemia, but slurred speech indicates a more acute and concerning issue.

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A nurse is reviewing the laboratory results of a client who has HELLP syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to collect a blood specimen from a newborn via heelstick. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is B, A, E, C, D

Explanation

A nurse is assessing a client who has sickle cell anemia. Which of the following findings is the priority for the nurse to report?

Correct Answer is A

Explanation

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