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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Correct Answer is D

Explanation

A. Providing brochures is informative but may not adequately support the client’s emotional adjustment to a new chronic illness.
B. Suggesting the client get affairs in order is premature and could increase anxiety rather than promote healthy coping.
C. Telling the client their family will be trained may be reassuring but does not directly address the client’s need to process feelings and cope with the diagnosis.
D. Encouraging the client to join a support group offers an opportunity to share experiences, gain emotional support, and learn coping strategies from others with similar conditions, which is the most therapeutic intervention to promote adaptation.

A. Anticipatory B. Situational C. Coping D. Hope

Correct Answer is A

Explanation

A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.

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Heart Rate	105 beats/minute.
Blood Pressure	130/85 mmHg
Pain	6 on a 0-10 scale
Temperature	101.3 F (38.5 C)
White Blood Cell (WBC)	12,000 mm3 (Ref: 4,000-10,000 mm3)
Platelet Count	150,000 mcl (Ret: 150,000-400,000 mcl)

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 caring for a client who was recently diagnosed with chronic renal failure. Which is the most appropriate nursing intervention to assist the client in coping with the diagnosis?

Correct Answer is D

Explanation

The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

Correct Answer is A

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