The nurse reviews laboratory results for a client and notes that the erythrocyte sedimentation rate (ESR) is 32 mm/hr. What action by the nurse is best?
a. Document the findings and call the health care provider.
b. Assess the client for any manifestations of infection or inflammation.
c. Review the client's chart to see what me-dications have been given.
d. Call the physician and request blood cul-tures and a chest x-ray.
B
The ESR is elevated (normal is <20 mm/hr) and indicates inflammation, which could be the result of an infectious process. The nurse should assess the client for manifestations of infection or inflammation before notifying the health care provider. Documentation is always important. Me-dications would not affect the ESR. Cultures and x-rays may be ordered, but not until the client has been thoroughly assessed.
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