The nurse is completing the preoperative checklist for an adult female client who is scheduled for an operative procedure later in the morning. Which preoperative assessment finding for this client indicates a need to contact the surgeon?
a. Hgb, 90 g/L
b. Creatinine 50 µmol/L
c. BUN 3.0 mmol/L
d. Platelets 200 ? 10
A
A Hgb of 90 g/L is below the normal value of 117 to 155 g/L for women. A low Hgb may cause the potential for oxygenation problems. The surgeon may order blood replacement.
The normal serum creatinine in women is 44 to 97 µmol/L. A serum creatinine of 30 µmol/L should be reported to the physician, as it can be an indication of renal failure.
A BUN of 3.0 is within normal limits (2.97 to 7.5 mmol/L).
A platelet count of 200 ? 109 is within the normal limits of 150 to 400 ? 109.
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