Difficulty: Medium
Average Score: 82%
Full-length
Passage / Scenario
Laboratory reference rangesHematocrit
39%-59%
(0.39-0.59)
The nurse is collecting data from a 2-week-old client who has tetralogy of Fallot. Which of the following findings would be a priority to follow up?
Correct answer
C
Rationale
Elevated hematocrit indicates polycythemia, a serious complication of tetralogy of Fallot. Knee-chest relief , weight gain , and murmurs are expected.