A nurse is caring for a client who has leukemia. Which of the following findings is the highest priority for the nurse to report to the provider?

Choice A: This is correct because aligning the client's joints with the joints on the frame can ensure proper functioning and comfort of the CPM device. The nurse should adjust the length and width of the device to fit the client's leg and secure it with straps.

Choice B: This is incorrect because padding the CPM device with a thick pillow can interfere with its movement and cause pressure on the leg. The nurse should use only thin padding or no padding at all for the CPM device.

Choice C: This is incorrect because placing the client in high-Fowler's position can cause flexion contractures and impair circulation in the leg. The nurse should place the client in supine or semi-Fowler's position with the leg elevated on pillows.

Choice D: This is incorrect because setting the degree of flexion and extension as tolerated by client can cause excessive pain and damage to the joint. The nurse should set the degree of flexion and extension according to the provider's prescription and gradually increase it as ordered.

Choice A reason: Glucocorticoids are anti-inflammatory drugs that can increase blood glucose levels and worsen diabetes mellitus, which is a risk factor for stroke.

Choice B reason: HbA1c is a measure of average blood glucose levels over the past three months. A higher HbA1c level indicates poor glycemic control and increases the risk for stroke. The target HbA1c level for most people with diabetes mellitus is less than 7 percent.

Choice C reason: Having a high total cholesterol level is a risk factor for stroke, as it can lead to atherosclerosis and plaque formation in the blood vessels. The target total cholesterol level for most people is less than 200 mg/dL.

Choice D reason: Losing excess weight can lower blood pressure, improve blood glucose levels, and reduce inflammation, which are all beneficial for preventing stroke.