A nurse notices abnormal lab results in red on the EHF. What is the nurse's best action?
Manually override the lab results to remove the red rotation
Immediately notify the healthcare provider about the abnormal results.
Print the lab results and file them without taking further action.
ignore the results and wait for the next scheduled follow-up
The Correct Answer is B
A. Manually override the lab results to remove the red rotation: Altering or overriding abnormal lab results without proper review is unsafe and violates professional and legal standards. It can lead to missed critical interventions and endanger patient safety.
B. Immediately notify the healthcare provider about the abnormal results: Abnormal lab values, especially those flagged as critical, require prompt communication to the provider. Timely notification ensures appropriate assessment, intervention, and prevention of potential complications. This action prioritizes patient safety.
C. Print the lab results and file them without taking further action: Filing abnormal results without notifying the provider delays necessary treatment and compromises patient care. Documentation alone does not address the immediate clinical significance of abnormal findings.
D. Ignore the results and wait for the next scheduled follow-up: Ignoring critical lab results can lead to deterioration of the patient’s condition. Active response to abnormal findings is a professional responsibility to ensure timely interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Advise the client to avoid discussing the deceased with others: Avoiding discussion can intensify feelings of isolation and prevent processing of grief. Healthy grieving involves expressing emotions and sharing memories rather than suppressing them.
B. Encourage the client to focus on other areas of life to distract themselves: Distraction may provide temporary relief but does not address the underlying complicated grief. Encouraging avoidance of emotions can delay healing and exacerbate distress.
C. Refer the client to a bereavement counselor or therapist: Complicated grief involves prolonged, intense, or impairing symptoms that interfere with functioning. Referral to a mental health professional provides specialized assessment, support, and therapy to help the client process grief safely and effectively.
D. Suggest participating in daily physical exercise routines for emotional management: Physical activity can improve mood and reduce stress but is an adjunctive strategy. It does not replace professional intervention for complicated grief, which may require targeted psychotherapy or counseling.
Correct Answer is B
Explanation
A. Administer IV fluids to stabilize heart rate: IV fluids may be indicated if hypovolemia is suspected, but giving fluids without assessing the underlying cause could be inappropriate and potentially harmful. Assessment must guide interventions.
B. Assess vital signs and check for underlying causes: A heart rate of 120 bpm with dizziness could indicate tachycardia due to dehydration, infection, arrhythmia, anemia, or other causes. Assessing vital signs, oxygen saturation, and possible contributing factors is the priority to guide safe and targeted interventions.
C. Encourage the patient to lie and rest: While resting may temporarily relieve symptoms, it does not address the underlying cause. Immediate rest alone does not ensure patient safety if the tachycardia is due to a serious condition.
D. Notify the provider immediately: Provider notification may be necessary after assessment, but the nurse must first gather critical information to report, including vital signs, symptoms, and potential causes, to ensure effective communication and safe care.
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