A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation. For which of the following results should the nurse notify the provider?
Hgb 12 g/dL
Platelet count 90,000/mm3
Hematocrit 37%
Creatinine 0.7 mg/dL
The Correct Answer is B
A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as
preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.
C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.
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Related Questions
Correct Answer is D
Explanation
A. Heart rate elevation could indicate pain, but it's an objective sign rather than subjective. Pain should be assessed based on the client's self-report.
B. Guarding the abdominal incision is an objective sign of pain and discomfort but does not reflect the client's perception of pain.
C. Facial grimacing is an objective sign of pain but may not always correlate with the client's perception of pain.
D. The client's report of pain is a subjective indication that they are experiencing discomfort and need PRN pain medication. It is essential to address the client's self-reported pain to provide adequate relief and promote comfort and recovery.
Correct Answer is A
Explanation
A. Fatigue is a common symptom of anemia, which can result from a low hemoglobin level.
Decreased oxygen-carrying capacity leads to feelings of tiredness.
B. Thickened fingernails are not typically associated with low hemoglobin levels. This symptom is more commonly seen in conditions such as fungal infections or psoriasis.
C. The need to go to the bathroom frequently is not directly related to low hemoglobin levels. It may be indicative of other conditions such as urinary tract infections or diabetes.
D. Shaky hands are not typically associated with low hemoglobin levels. This symptom may be seen in conditions such as essential tremor or Parkinson's disease.
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