A nurse is caring for a child who is scheduled for a kidney biopsy. The prebiopsy laboratory results indicate a platelet count of 88,000, pH of 7.28, and potassium of 5.8 mEq/L. Based on these laboratory results, which action by the nurse is the most appr
A.
Ensure signed consent is on the chart.
B.
Document the findings in the chart.
C.
Notify the provider immediately.
D.
Prepare to administer Kayexalate (sodium polystyrene).
ANS: C
A platelet count this low is too low to perform an invasive procedure, such as a kidney biopsy. The nurse should notify the provider immediately. Documentation should be done and consent should be on the chart prior to a procedure, but in this case, the biopsy may be postponed. The potassium level is slightly high and probably does not warrant Kayexalate, but in any event, notifying the provider takes priority.
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