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%
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Avoiding temperature extremes can help prevent triggering a sickle cell crisis. Cold temperatures can cause blood vessels to constrict, leading to poor blood flow and increased risk of cell sickling.
Choice B rationale:
Engaging in high-impact exercise might not be recommended, as vigorous exercise can increase the risk of dehydration and oxygen deprivation, potentially triggering a crisis.
Choice C rationale:
Staying well-hydrated by drinking fluids is important, but temperature regulation is a key factor in preventing sickle cell crises.
Choice D rationale:
Receiving the influenza vaccine is recommended for individuals with sickle cell disease to reduce the risk of infections that could trigger a crisis. This statement is incorrect; the client should receive the influenza vaccine unless contraindicated.
Correct Answer is C
Explanation
A: Expecting heavier menstrual bleeding while using the patch is not a typical instruction given to clients. The patch may actually result in lighter, more regular bleeding.
B: The patch should not be placed on the upper thigh. According to the guidelines, the patch should be applied to clean, dry skin on the belly, buttocks, or back, and can also be placed on the outer part of the upper arm.
C: Applying the first patch within 24 hours of starting the menstrual cycle is correct. This ensures that the patch begins to work in sync with the client's natural cycle, providing immediate contraceptive protection.
D: A new patch should not be applied at the same time each day. Instead, it should be changed once a week on the same day, known as the "patch change day" to maintain consistent contraceptive coverage.
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