A nurse is reviewing the medical record of a client who is at 37 weeks of gestation and has HELLP syndrome. Which of the following laboratory findings should the nurse expect?
BUN 20 mg/dL
Platelet count 77,000/mm3
Hemoglobin 12 g/dL
WBC count 18,000/mm3
The Correct Answer is B
A. BUN 20 mg/dL: This is not specific to HELLP syndrome. A BUN level of 20 mg/dL is within the normal range and does not indicate the presence of HELLP syndrome, which is associated with liver dysfunction and low platelet count.
B. Platelet count 77,000/mm3: This is correct. HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets) is characterized by a low platelet count, often less than 100,000/mm3, which is a critical indicator of this condition.
C. Hemoglobin 12 g/dL: This is a normal hemoglobin level and is not typically associated with HELLP syndrome, where hemolysis (destruction of red blood cells) can cause anemia, which would lower hemoglobin levels.
D. WBC count 18,000/mm3: While an elevated WBC count can indicate infection or inflammation, it is not specifically associated with HELLP syndrome. The hallmark features of HELLP syndrome are low platelets and liver enzyme elevation, not elevated WBC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "If I were you, I would contact your spiritual director.": While this may be a helpful suggestion for the client, it can come across as dismissive of the client’s personal beliefs and decision-making. The nurse should respect the client’s autonomy in making healthcare decisions.
B. "I'm sure that everything will be all right, regardless of your decision.": This statement may be dismissive of the client's concerns and the seriousness of their medical decision. It also minimizes the importance of the client’s decision, which should be respected.
C. "Making this decision is wrong.": This response is judgmental and violates the client’s autonomy. The nurse should avoid imposing personal beliefs and instead support the client’s choices.
D. "You have a right to change your mind.": This is the best response, as it acknowledges the client’s autonomy and the possibility that the client may reconsider their decision in the future. It provides a nonjudgmental and supportive statement that empowers the client.
Correct Answer is B
Explanation
A. Leave noninvasive equipment on the client's body. This is incorrect. Noninvasive equipment, such as oxygen tubing or blood pressure cuffs, should be removed before the family views the body to allow for a respectful presentation of the deceased.
B. Remove the client's dentures. This is the correct action. Dentures should be removed after death to preserve the appearance of the face. They should be cleaned and placed with the client’s belongings.
C. Turn the lights up in the client's room. This is not recommended. The lights should generally be dimmed to create a more peaceful and respectful environment for family members.
D. Close the client's eyes before the family views the body. While it is respectful to close the client’s eyes, this action should only be taken if the family has not yet viewed the body. If the family wishes to see the deceased with their eyes open, the nurse should respect that preference.
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