A nurse is reviewing the laboratory values of a client who has COPD. Which of the following findings should the nurse report to the provider?

WBC 13,000/mm3

Potassium 3.7 mEq/L

Hgb 20 g/dL

Iron 150 mcg/dL

Answer and Explanation

The Correct Answer is C

A. WBC 13,000/mm3 is slightly elevated and might indicate an infection, but it is not critically high in the context of COPD. The nurse should still monitor the client for signs of infection but is unlikely to require immediate intervention.

B. Potassium 3.7 mEq/L is within the normal range (3.5–5.0 mEq/L) and does not require reporting.

C. Hgb 20 g/dL is elevated and should be reported. High hemoglobin levels can indicate dehydration, polycythemia, or other conditions related to chronic hypoxia, which is common in COPD. This value is above the normal range (12–18 g/dL for adults) and requires further evaluation.

D. Iron 150 mcg/dL is within the normal range (50–170 mcg/dL for adults) and does not require reporting.

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Correct Answer is B

Explanation

A. Laissez-faire leadership style: A laissez-faire leadership style generally involves being permissive or non-directive, which is not typically associated with perpetrators of child abuse. Instead, abusive caregivers often have controlling or rigid parenting styles.

B. Rigid expectations of behavior: This is characteristic of many perpetrators of child abuse. They may have unrealistic or excessively strict expectations for their children's behavior, which can lead to frustration, anger, and, ultimately, abusive behaviors when those expectations are not met.

C. Self-blame for financial problems: While perpetrators of child abuse may experience stress due to financial issues, self-blame is not a defining characteristic. The stress from financial problems can contribute to abusive behaviors, but it is not the key factor.

D. High self-esteem: Perpetrators of child abuse typically have low self-esteem and may feel inadequate as parents. High self-esteem is not generally a characteristic of individuals who abuse children. Instead, feelings of powerlessness or frustration often contribute to abusive behavior.

A. Measure the duration of the seizure. B. Lower the side rails of the bed when the seizure begins. C. Insert an oral airway into the client's mouth. D. Restrain the client's arms and legs to prevent injury.

Correct Answer is A

Explanation

A. Measure the duration of the seizure. This is the correct action. Monitoring the duration of the seizure is important for assessing its severity and deciding when to intervene medically. A seizure lasting longer than 5 minutes requires immediate intervention.

B. Lower the side rails of the bed when the seizure begins. This is not recommended. The side rails should be raised to protect the client from injury. Lowering them could increase the risk of falling out of bed.

C. Insert an oral airway into the client's mouth. This is incorrect. Inserting an airway into the mouth during a seizure can be dangerous and may result in injury to the client or the nurse. The client’s airway should be kept clear, but inserting an object into the mouth is not recommended.

D. Restrain the client's arms and legs to prevent injury. This is incorrect. Restraining the client during a seizure can cause injury to both the client and the nurse. It is better to allow the seizure to proceed naturally while ensuring the client is protected from injury (e.g., by placing a soft pillow under their head or cushioning hard surfaces around them).

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A nurse is reviewing the laboratory values of a client who has COPD. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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