A nurse is reviewing the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
WBC count 8,400/mm3
Reports pain of 4 on a scale from 0 to 10 when coughing
Serosanguineous exudate noted on dressing change
Hemoglobin 10 mg/dL
The Correct Answer is D
This is a low hemoglobin level, which may indicate blood loss. The nurse should report this finding to the provider immediately, as it may require further investigation and intervention, such as blood transfusion.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
Lymphedema is a contraindication to acupuncture because it increases the risk of infection and worsens the swelling. Acupuncture should not be performed on an oedematous limb at risk of lymphoedema.
The other options are not contraindications to acupuncture.
Correct Answer is B
Explanation
Abdominal distension and firmness indicate increased intra-abdominal pressure, which can compromise blood flow to the bowel and cause ischemia, necrosis, or perforation.
The nurse should report this finding to the provider and assess for signs of shock or peritonitis.
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