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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Initiates speech rarely: This is a negative symptom of schizophrenia, where the individual may exhibit a lack of motivation or interest in social interaction, leading to reduced speech or verbal communication. Negative symptoms refer to the absence or decrease of normal functioning or behaviors, such as lack of speech, emotional expression, or motivation.
B. Has a preoccupation with religious thoughts: This is more of a positive symptom, potentially indicating delusions or hallucinations. Positive symptoms involve the presence of abnormal thoughts or behaviors.
C. Mimics the nurse's movements: This behavior, called echopraxia, is a positive symptom of schizophrenia, which involves involuntary imitation of another person's movements.
D. Smells odors that don't exist: This is a hallucination, which is a positive symptom of schizophrenia. Hallucinations are sensory perceptions without external stimuli, such as hearing voices or smelling things that aren’t there.
Correct Answer is D
Explanation
A. Leaving noninvasive equipment on the client’s body is not appropriate during postmortem care. Tubing and devices should be removed unless an autopsy is required.
B. Dentures should generally be left in place to maintain the natural shape of the face and promote a more normal appearance for family viewing.
C. Turning the lights up is unnecessary and may create a harsh environment. A calm, respectful setting with normal or dim lighting is preferred during postmortem care.
D. Closing the client’s eyes before the family views the body helps provide a peaceful and dignified appearance and is an important part of postmortem care.
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