Difficulty: Medium
Average Score: 64%
Full-length
Passage / Scenario
Laboratory reference rangesCreatinine
Male: 0.6-1.3 mg/dL
(53-114.9 ╬╝mol/L)
Female: 0.5-1.2 mg/dL
(44.2-106.1 ╬╝mol/L)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)
Female: 12.0-16.0 g/dL
(120-160 g/L)
Platelets
150,000-400,000/mm3
(150-400 × 109/L)
A client is scheduled for a percutaneous kidney biopsy at 1000. The practical nurse reviews the client's vital signs and most current serum laboratory results at 0600. Which of the following client findings is most important to report to the registered nurse?
Correct answer
B
Rationale
Severe hypertension (180/100 mm Hg) increases bleeding risk during a kidney biopsy, requiring immediate reporting. Other findings are concerning but less urgent.