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A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

WBC 6,000/mm3

BUN 15 mg/dL

Hemoglobin 14 g/dL

Platelet count 60,000/mm3

Answer and Explanation

The Correct Answer is D

A. WBC 6,000/mm³ is within normal range and does not require follow-up.

B. BUN 15 mg/dL is within normal range and does not require follow-up.

C. Hemoglobin 14 g/dL is within normal range for most adults and does not require follow-up.

D. Platelet count 60,000/mm³ is significantly low and requires follow-up as it can increase the risk of bleeding during surgery.

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Correct Answer is A

Explanation

Rationale:

A. An experienced nurse being uncivil to a newly licensed nurse is an example of interpersonal conflict, as it involves direct interaction and disagreement between individuals.

B. Uncertainty about joining a professional organization is a personal decision and not an interpersonal conflict.

C. Disagreements about the timing of client weights are more related to procedural issues than interpersonal conflicts.

D. Not wanting to care for a terminally ill client due to personal loss is a personal issue rather than an interpersonal conflict.

A. Reassuring the partner of a client who sustained a closed head injury B. Reinforcing a client's dressing for the surgical site of an above-the-knee amputation C. Taking a telephone prescription about a client who is to be transferred from PACU D. Assessing a client who experiences unilateral calf pain when ambulating

Correct Answer is D

Explanation

Rationale:

A. Reassuring the partner is important for emotional support but does not directly impact the immediate safety of clients.

B. Reinforcing a dressing is important for wound care but does not address urgent concerns.

C. Taking a telephone prescription is necessary but not as immediate as addressing a potential complication.

D. Assessing a client with unilateral calf pain is the priority as it may indicate a serious condition such as deep vein thrombosis (DVT), which requires immediate evaluation and intervention.

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A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

Nursing Test Bank

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