The client who underwent preadmission testing prior to a surgical procedure had serum laboratory studies drawn, including complete blood count, electrolytes, coagulation studies, and creatinine
Which of the following laboratory results should be reported to the surgeon immedi-ately? 1. Platelet count, 210,000/mm3
2. Serum sodium (Na) level, 141 mEq/L
3. Hemoglobin (Hgb) level, 8.9 g/dL
4. Serum creatinine level, 0.8 mg/dL
3
Rationale: Routine screening tests include a complete blood count, coagulation studies, and se-rum electrolyte and creatinine levels. The complete blood count includes the hemoglobin analysis. All these values are within normal range except the hemoglobin. If a client has a low hemoglobin level, the surgery could likely be postponed by the surgeon.
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The nurse is providing shift report related to a client newly received back to the unit from the postanesthesia care unit (PACU)
The nurse is stating that the client had breast tissue removed with 7 of 14 lymph nodes, the lining of the chest muscles and pectoralis minor muscle removed. The oncoming nurse documents which procedure completed? A) A segmental mastectomy B) A total mastectomy C) A modified radical mastectomy D) A radical mastectomy
A client is admitted for oxytocin induction of labor due to post-dates. The nurse sees variable decelerations on the monitor. The nurse recognizes that in a post-date pregnancy, this most likely is caused by
a. decreased amniotic fluid c. nuchal cord b. macrosomic infant d. placental insufficiency
A 2-year-old child has to receive Rocephin IM injections every 12 hours. What nursing intervention should be implemented for the child?
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The director of a nursing home has decided to institute ergonomic programs in the facility because these programs increase employee satisfaction and have been shown to
a. Be ineffective in reducing injury. b. Be cost neutral in budgeting. c. Enhance recruitment. d. Decrease retention rates.