Exhibits
A nurse is collecting data from a client following a thoracentesis. The nurse should notify the provider for which of the following findings? (Click on the "Exhibit" button for additional information about the client There are three tabs that contain separate categories of data.)
Respiratory rate
Blood pressure
Hematocrit
PCO2
The Correct Answer is A
Choice A. Respiratory rate
Reason: After thoracentesis, it's crucial to monitor the patient's respiratory rate. An increased respiratory rate could indicate respiratory distress. In this case, the respiratory rate is 26/min, which is higher than the normal range (12-20 breaths per minute for an adult at rest). Therefore, the nurse should notify the provider about this finding.
Choice B. Blood pressure
Reason: The blood pressure of the patient is 110/76 mm Hg, which falls within the normal range (90/60 mm Hg to 120/80 mm Hg). Therefore, there is no need for the nurse to notify the provider about the patient's blood pressure.
Choice C. Hematocrit
Reason: The hematocrit level is 43%, which is within the normal range (38.8% to 50.0% for males, and 34.9% to 44.5% for females). Therefore, there is no need for the nurse to notify the provider about the patient's hematocrit level².
Choice D. PCO2
Reason: The PCO2 level is 37 mm Hg, which is within the normal range (35 to 45 mm Hg). Therefore, there is no need for the nurse to notify the provider about the patient's PCO2 level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A BUN level of 30 mg/dL is slightly above the normal range of 6 to 20 mg/dL, but it is not critically high and may not require immediate reporting to the provider.
Choice B reason: A respiratory rate of 12/min is within the normal range for adults, which is approximately 12 to 20 breaths per minute.
Choice C reason: A sinus rhythm of 95/min is a normal finding on a cardiac monitor postcoronary angiography and does not need to be reported.
Choice D reason: An aPTT of 25 seconds is below the normal range of approximately 30 to 40 seconds, indicating a risk of clotting and should be reported to the provider.
Correct Answer is C
Explanation
Choice A reason: Applying cool compresses may provide some relief but is not the primary action to be taken for DVT.
Choice B reason: Placing the leg in a dependent position can increase swelling and pain and is not recommended for DVT.
Choice C reason: Maintaining the client on bed rest is important to prevent the clot from dislodging and causing a pulmonary embolism.
Choice D reason: Decreasing fluid intake is not recommended as adequate hydration can help prevent further clot formation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.