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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Choice A Rationale: The epidural PCA (patient-controlled analgesia) is designed with safety mechanisms to ensure that the patient cannot administer a dose that exceeds the prescribed safe limit. This is crucial to prevent potential overdose and complications associated with high doses of analgesics.
- Choice B Rationale: While it is true that some patients may experience reduced mobility in their legs during epidural analgesia, this is not an absolute and can vary based on the dosage and individual response. Therefore, it is not a guaranteed effect and should not be presented as such.
- Choice C Rationale: There is no conclusive evidence to suggest that epidural pain control methods shorten the second stage of labor. In fact, some studies indicate that it may actually prolong it. The primary purpose of epidural PCA is pain management, not altering the labor process timeline.
- Choice D Rationale: Postpartum headaches can be a side effect of epidural anesthesia, but they are not common to all cases. It is associated with a complication known as a post-dural puncture headache, which occurs in a minority of cases. Hence, it should not be stated as a common outcome.
Correct Answer is C
Explanation
A. Cleansing the perineal area from back to front can introduce bacteria from the rectum to the urinary tract, increasing the risk of infection. Front to back is the recommended direction for cleansing.
B. Washing the perineal area with povidone-iodine twice daily may be too frequent and could potentially irritate the area. Gentle cleansing with warm water is typically recommended.
C. Changing the perineal pad with each void helps to maintain cleanliness and prevent infection by reducing the buildup of moisture and bacteria.
D. Wiping the perineal area with a soft towel is appropriate for gentle cleansing but does not address the importance of changing the perineal pad regularly.
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