The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Reference Range:
Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]
Platelets [150,000 to 400,000/mm3 (150 to 400 x 10^9/L)]
Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)]
Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
Platelet count of 100,000/mm3 (100 x 10^9/L).
Serum creatinine 1.0 mg/dL (88.4 μmol/L).
Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L).
Hematocrit 45% (0.45 volume fraction).
The Correct Answer is A
A. A platelet count of 100,000/mm3 indicates thrombocytopenia, which increases the risk of bleeding with enoxaparin and requires immediate action.
B. A serum creatinine level of 1.0 mg/dL is within the normal range and does not require immediate action.
C. A BUN level of 20 mg/dL is at the upper end of the normal range but does not typically require immediate action unless accompanied by other symptoms.
D. A hematocrit level of 45% is within the normal range and does not require immediate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to be effective in coating and protecting the gastrointestinal mucosa.
B. Taking sucralfate up to 1 hour after a meal may reduce its effectiveness in coating the stomach lining.
C. Documenting refusal is not appropriate if the medication can be taken later as long as it meets the timing requirements.
D. Sucralfate should not be taken with food as it needs to be administered on an empty stomach to be effective.
Correct Answer is C
Explanation
A. Cheese, milk, and yogurt are high in calcium, which is not directly relevant to managing the effects of furosemide.
B. Liver, beef, and chicken are protein-rich foods but do not specifically address the potassium needs related to furosemide use.
C. Bananas, oranges, and peaches are rich in potassium, which is important to replenish as furosemide can cause potassium loss.
D. Pasta, cereal, and bread are carbohydrates and do not address the need for potassium in this context.
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.
