Nokea
A nurse is reviewing the laboratory results of four children. Which value should the nurse report to the provider? Which lab value should the nurse report?
- A. Iron 38 mcg/dL.
- B. RBC 4.9 million/mm.
- C. WBC 10,000 cells/mm.
- D. Lead 2 mcg/dL.
Correct Answer: A
Rationale: The correct answer is A: Iron 38 mcg/dL. The nurse should report this value as it indicates a low iron level, which can lead to anemia in children. Anemia can have serious consequences on growth and development. Choice B is within the normal range for red blood cell count. Choice C is within the normal range for white blood cell count, which may indicate an infection or inflammation. Choice D is within the acceptable range for lead levels, but it is still important to monitor due to potential toxicity. Reporting the low iron level is crucial for early intervention and prevention of complications.
You may also like to solve these questions
A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do? What should the nurse do for a protruding bowel?
- A. Gently reinsert the bowel back into the patient's wound.
- B. Place the head of the patient's bed in the flat position.
- C. Apply moistened sterile gauze to the site.
- D. Position the patient on his left side.
Correct Answer: C
Rationale: The correct answer is C: Apply moistened sterile gauze to the site. This is the correct action because it helps to keep the exposed bowel moist, which is crucial to prevent drying and potential damage. Reinserting the bowel (choice A) may cause further harm and should only be done by a surgeon. Placing the head of the bed flat (choice B) can increase intra-abdominal pressure and worsen the situation. Positioning the patient on his left side (choice D) does not address the immediate need to protect the exposed bowel. Applying moistened gauze is the best initial action to protect the bowel while awaiting further medical intervention.
A nurse is caring for a patient who is postoperative following a knee arthroscopy. Which of the following actions should the nurse take? Which action should the nurse take post-knee arthroscopy?
- A. Apply a warm compress to the surgical site.
- B. Keep the leg in a dependent position.
- C. Encourage weight-bearing immediately.
- D. Elevate the affected leg.
Correct Answer: D
Rationale: The correct action is to elevate the affected leg post-knee arthroscopy. Elevating the leg helps reduce swelling and promote circulation, aiding in the healing process. Keeping the leg in a dependent position (choice B) can increase swelling. Applying a warm compress (choice A) may also increase swelling. Encouraging weight-bearing immediately (choice C) can put stress on the surgical site and delay healing. Thus, elevating the affected leg is the most appropriate action in this scenario.
A nurse is caring for a patient who is postoperative following a bowel resection. Which of the following findings should the nurse report to the provider? Which finding post-bowel resection should the nurse report?
- A. Soft, formed stools
- B. Abdominal distension
- C. Mild incisional pain
- D. Nausea
Correct Answer: B
Rationale: The correct answer is B: Abdominal distension. This finding could indicate a possible complication such as bowel obstruction or ileus post-bowel resection. The nurse should report this symptom promptly to the provider for further evaluation and intervention to prevent potential complications. Soft, formed stools (A) are expected after bowel resection, indicating bowel function is returning. Mild incisional pain (C) is common postoperatively and can be managed with pain medication. Nausea (D) can also be common after surgery but may require monitoring if persistent or severe. There are no additional choices provided, but it is essential for the nurse to prioritize reporting any unusual or concerning findings to ensure the patient's safety and well-being.
A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions? What should the nurse include in bumetanide instructions?
- A. Take the prescribed second dose at nighttime.
- B. Limit your fluid intake to no more than 1.5 L a day.
- C. Report any changes in hearing.
- D. Avoid foods high in potassium.
Correct Answer: C
Rationale: The correct answer is C: Report any changes in hearing. Bumetanide is a loop diuretic that can cause ototoxicity, leading to changes in hearing. Instructing the patient to report any changes in hearing is crucial to monitor for potential adverse effects. Choice A is incorrect as bumetanide is usually taken once daily in the morning to prevent nocturia. Choice B is incorrect as the patient may need to increase fluid intake to prevent dehydration. Choice D is incorrect as bumetanide can lead to hypokalemia, so foods high in potassium may be beneficial.
A nurse is caring for a patient who is postoperative following a cesarean section. Which of the following findings should the nurse report to the provider? Which finding post-cesarean should the nurse report?
- A. Lochia serosa
- B. Fundus firm at the umbilicus
- C. Mild cramping
- D. Foul-smelling vaginal discharge
Correct Answer: D
Rationale: The correct answer is D: Foul-smelling vaginal discharge. This finding indicates a possible infection, which is crucial to report to the provider for prompt intervention. Foul odor may indicate endometritis or other postoperative complications.
A: Lochia serosa is a normal finding post-cesarean.
B: Fundus firm at the umbilicus is a normal finding post-cesarean, indicating proper involution.
C: Mild cramping is common post-cesarean due to uterine contractions as it returns to its pre-pregnancy size.