The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider?

Heart Rate

115 beats per minute

Blood pressure

100/70 mmHg

Temperature

98.7 F (37.0 C)

Oxygen saturation

90% on room air

Hematocrit level of 38.2% (Ref: 36% -46%)

Hemoglobin level of 18.0 g/dL (Ref: 12.0-16.0 g/dL)

WBCs of 17,000 mm2 (Ref: 5,000-10,000 mm2)

Hemoglobin level of 6.2g/dL (Ref: 12.0-16.0 g/dL)

Answer and Explanation

The Correct Answer is D

A. Hematocrit 38.2% is within the normal range and does not require urgent reporting.

B. Elevated hemoglobin (18.0 g/dL) may indicate hemoconcentration but is not the priority compared to severe anemia.

C. Elevated WBC (17,000) suggests infection or inflammation (common in diverticulitis) but is not immediately life-threatening.

D. A hemoglobin of 6.2 g/dL indicates severe anemia, which can lead to hypoxia, shock, and organ failure. This finding, along with tachycardia and low oxygen saturation, makes it the priority to report for urgent intervention (likely transfusion).

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Treating infected pets is important in other fungal infections like tinea corporis (ringworm), but not specifically for tinea pedis (athlete’s foot), which is usually contracted from damp surfaces.
B. Moist, warm compresses create an environment that promotes fungal growth and would worsen the infection.
C. Selenium sulfide shampoo is used for tinea capitis (fungal infection of the scalp), not for tinea pedis.
D. Tinea pedis is best managed with topical antifungal creams or powders, such as clotrimazole or terbinafine. These reduce fungal growth, relieve itching, and promote healing.

A. Placing warm blankets on the client B. Decreasing temperature in the room C. Warm intravenous (IV) fluids D. Administer acetaminophen orally every 6 hours E. Place a fan on the client F. Warmed, humidified oxygen G. Place on cardiac monitor H. Using a radiant warmer I. Monitor core temperature

Correct Answer is ["A","C","F","G","H","L"]

Explanation

A. Warm blankets provide external rewarming.
B. The room should be kept warm, not decreased.
C. Warm IV fluids prevent further heat loss and aid internal rewarming.
D. Acetaminophen is for fever reduction, not for hypothermia management.
E. A fan would worsen heat loss.
F. Warmed, humidified oxygen prevents further cooling and helps raise core body temperature.
G. Cardiac monitoring is essential since hypothermia increases the risk for arrhythmias.
H. A radiant warmer provides effective external rewarming.
I. Monitoring core temperature ensures safe and effective rewarming.

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Heart Rate	115 beats per minute
Blood pressure	100/70 mmHg
Temperature	98.7 F (37.0 C)
Oxygen saturation	90% on room air

The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider? Heart Rate 115 beats per minute Blood pressure 100/70 mmHg Temperature 98.7 F (37.0 C) Oxygen saturation 90% on room air

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a child who has tinea pedis. Which action should the nurse include in the plan of care?

Correct Answer is D

Explanation

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.

Correct Answer is ["A","C","F","G","H","L"]

Explanation

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The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider?

Heart Rate

115 beats per minute

Blood pressure

100/70 mmHg

Temperature

98.7 F (37.0 C)

Oxygen saturation

90% on room air