A nurse is reviewing the medical record of a client who is at 37 weeks of gestation and has HELLP syndrome. Which of the following laboratory findings should the nurse expect?

BUN 20 mg/dL

Platelet count 77,000/mm3

Hemoglobin 12 g/dL

WBC count 18,000/mm3

Answer and Explanation

The Correct Answer is B

A. BUN 20 mg/dL: This is not specific to HELLP syndrome. A BUN level of 20 mg/dL is within the normal range and does not indicate the presence of HELLP syndrome, which is associated with liver dysfunction and low platelet count.

B. Platelet count 77,000/mm3: This is correct. HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets) is characterized by a low platelet count, often less than 100,000/mm3, which is a critical indicator of this condition.

C. Hemoglobin 12 g/dL: This is a normal hemoglobin level and is not typically associated with HELLP syndrome, where hemolysis (destruction of red blood cells) can cause anemia, which would lower hemoglobin levels.

D. WBC count 18,000/mm3: While an elevated WBC count can indicate infection or inflammation, it is not specifically associated with HELLP syndrome. The hallmark features of HELLP syndrome are low platelets and liver enzyme elevation, not elevated WBC.

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Correct Answer is A

Explanation

A. Bleach: This is correct. Bleach (sodium hypochlorite. is recommended for disinfecting surfaces contaminated with blood or other body fluids due to its ability to effectively kill bloodborne pathogens, including HIV, which is crucial in a healthcare setting involving AIDS. The CDC recommends a solution of 1:10 dilution of bleach to water for blood spill clean-up.

B. Isopropyl alcohol: This is incorrect. While isopropyl alcohol can disinfect surfaces, it is not as effective as bleach in killing certain viruses, including HIV, in blood spills. It may not be sufficient for complete disinfection after a blood spill.

C. Chlorhexidine: This is incorrect. Chlorhexidine is an antiseptic commonly used for skin disinfection, not for cleaning contaminated surfaces. It is not recommended for disinfecting blood spills.

D. Hydrogen peroxide: This is incorrect. Hydrogen peroxide can be used for cleaning, but it is not as effective as bleach in eliminating certain pathogens like HIV after a blood spill. It also may not have the broad-spectrum disinfecting power needed for bloodborne pathogens.

A. Encourage the toddler to flush the toilet while still seated. B. Have the toddler remain on the toilet for a minimum of 20 min. C. Wake the toddler every 2 hr. in the night to prevent bed-wetting. D. Give the toddler a sticker after each successful toileting attempt.

Correct Answer is D

Explanation

A. Encouraging the toddler to flush the toilet while still seated is incorrect. Some children may be startled by the flushing sound, which can create fear and resistance to toilet training. It is better to allow the child to stand before flushing if they show hesitation.

B. Having the toddler remain on the toilet for a minimum of 20 minutes is incorrect. Extended sitting can lead to discomfort and frustration, making the experience negative. Shorter, 5- to 10-minute sessions are more effective and developmentally appropriate.

C. Waking the toddler every 2 hours in the night to prevent bed-wetting is incorrect. Nighttime bladder control develops gradually, and disrupting sleep can be counterproductive. Instead, using protective bedding and encouraging toileting before bedtime is recommended.

D. Giving the toddler a sticker after each successful toileting attempt is correct. Positive reinforcement, such as stickers or praise, encourages consistency and motivation, which is particularly beneficial for children with cognitive impairments.

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A nurse is reviewing the medical record of a client who is at 37 weeks of gestation and has HELLP syndrome. Which of the following laboratory findings should the nurse expect?

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