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

Answer and Explanation

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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Correct Answer is C

Explanation

A. An increase in calf size can be a sign of deep-vein thrombosis (DVT), but it is not specific to
DVT and can occur with other conditions such as edema.
B. Capillary refill of 2 seconds is within the expected range and is not indicative of DVT.
C. A palpable cord-like vein is a classic sign of DVT and should be further assessed and reported for appropriate intervention.
D. An extremity feeling cool to the touch can be a sign of impaired circulation but is not specific to DVT and can occur with other vascular conditions.

A. Increased nail growth due to buildup of calcium deposits. B. Increased perspiration due to overproduction by the sweat glands. C. Increased cardiac output due to weakened heart valves. D. Increased joint stiffness due to loss of elasticity in joint cartilage.

Correct Answer is D

Explanation

A. Incorrect. Nail growth typically decreases with age rather than increases, and it is not due to calcium deposits.
B. Incorrect. Sweating tends to decrease with age rather than increase due to changes in sweat gland activity.
C. Incorrect. Cardiac output generally decreases with age due to changes in the heart's structure and function, rather than increasing due to weakened heart valves.
D. Correct. Increased joint stiffness is an expected age-related change due to the loss of elasticity in joint cartilage, leading to conditions such as osteoarthritis, which commonly affects older adults.

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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?

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