A nurse is reviewing a patient's laboratory values. Which of the following values should the nurse report to the provider?

Hct 45%

Hgb 14.7 g/dL

WBC 1,700/mm3

Platelets 160,000/mm3

Answer and Explanation

The Correct Answer is C

A. Hct 45%. – Normal range for hematocrit (Hct) is 38-50%. No need to report.

B. Hgb 14.7 g/dL. – Normal range for hemoglobin (Hgb) is 13-17 g/dL. No need to report.

C. WBC 1,700/mm³. – Correct Answer. Normal WBC count is 4,000-11,000/mm³. A WBC count of 1,700/mm³ (neutropenia) places the patient at high risk for infection, requiring immediate intervention.

D. Platelets 160,000/mm³. – Normal range for platelets is 150,000-450,000/mm³. No need to report.

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Correct Answer is B

Explanation

A. Tachycardia does not occur with autonomic dysreflexia.

B. Autonomic dysreflexia is a life-threatening condition caused by a noxious stimulus (e.g., full bladder, constipation) in patients with spinal cord injuries above T6. It leads to severe hypertension and reflex bradycardia.

C. Hypotension is not a symptom; autonomic dysreflexia causes hypertension.

D. Tachycardia and hypotension are more associated with spinal shock rather than autonomic dysreflexia.

A. check all stools for occult blood. B. encourage fluids to 3000 mL/day. C. provide oral hygiene every 2 hours. D. check the temperature every 4 hours.

Correct Answer is A

Explanation

A. Correct. A platelet count <20,000/μL increases bleeding risk. Checking for occult blood helps detect hidden gastrointestinal bleeding.

B. Incorrect. Hydration is important but does not directly address thrombocytopenia management.

C. Incorrect. While oral hygiene is important, frequent brushing could cause bleeding with low platelets.

D. Incorrect. Monitoring temperature is important for infection risk but does not address bleeding concerns.

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A nurse is reviewing a patient's laboratory values. Which of the following values should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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Explanation

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