A nurse is reviewing the laboratory values of a client who has COPD. Which of the following findings should the nurse report to the provider?
WBC 13,000/mm3
Potassium 3.7 mEq/L
Hgb 20 g/dL
Iron 150 mcg/dL
The Correct Answer is C
A. WBC 13,000/mm3 is slightly elevated and might indicate an infection, but it is not critically high in the context of COPD. The nurse should still monitor the client for signs of infection but is unlikely to require immediate intervention.
B. Potassium 3.7 mEq/L is within the normal range (3.5–5.0 mEq/L) and does not require reporting.
C. Hgb 20 g/dL is elevated and should be reported. High hemoglobin levels can indicate dehydration, polycythemia, or other conditions related to chronic hypoxia, which is common in COPD. This value is above the normal range (12–18 g/dL for adults) and requires further evaluation.
D. Iron 150 mcg/dL is within the normal range (50–170 mcg/dL for adults) and does not require reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Exercising when insulin is at its peak action is incorrect. Exercising during peak insulin activity increases the risk of hypoglycemia. It is best to exercise when insulin levels are more stable, such as 1 to 2 hours after a meal.
B. Eating a piece of fruit before exercising is correct. A small carbohydrate snack before exercise helps prevent hypoglycemia, especially for clients with type 1 diabetes. The body requires glucose for energy, and exercise can lower blood sugar levels rapidly.
C. Injecting additional insulin before exercising is incorrect. Exercise naturally lowers blood glucose, so adding extra insulin increases the risk of hypoglycemia. Instead, insulin doses may need to be adjusted downward based on activity levels.
D. Avoiding protein before exercising is incorrect. While carbohydrates are the primary concern, protein intake before exercise is not harmful and can support muscle function. However, the focus should be on carbohydrate intake to maintain blood glucose levels.
Correct Answer is A
Explanation
A. Apply an ice pack to the affected extremity for 20 min every 2 hr.: Applying ice to the affected extremity can help reduce inflammation and discomfort associated with deep-vein thrombosis (DVT). This method is often recommended to decrease swelling and prevent further complications.
B. Massage the affected extremity every 4 hr.: Massage should be avoided in cases of DVT as it can dislodge the thrombus, leading to a pulmonary embolism or other life-threatening complications.
C. Administer aspirin for pain.: Aspirin is not recommended for clients on anticoagulant therapy, as it can increase the risk of bleeding. Other pain relief options should be considered that do not interact with anticoagulants.
D. Initiate bed rest.: While limited activity is necessary to prevent the risk of embolism, complete bed rest is not typically recommended. Early ambulation (when safe. is often encouraged to prevent complications like venous stasis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.