A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory result should the nurse report to the surgeon immediately?
a. Albumin: 2.1 g/dL
b. Hematocrit: 28%
c. Hemoglobin: 8.1 mg/dL
d. International normalized ratio (INR): 4.2
ANS: D
An INR as high as 4.2 poses a serious risk of bleeding during the operation and should be reported. The albumin is low and is an expected finding. The hematocrit and hemoglobin are also low, but this is expected in gastric cancer.
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