Difficulty: Medium
Average Score: 79%
Simulated
Passage / Scenario
Laboratory ResultsHistory and Physical
Nurses' Notes
Provider's Prescriptions
WBC: 15,000/mm┬│ (normal: 5,000ÔÇô10,000/mm┬│)
Glucose: 100 mg/dL (normal: 74ÔÇô106 mg/dL)
Potassium: 4.2 mEq/L (normal: 3.5ÔÇô5 mEq/L)
Sodium: 143 mEq/L (normal: 136ÔÇô145 mEq/L)
A nurse is caring for a 45-year-old male client in a provider's clinic. Select all that apply. Which of the following findings require follow-up by the nurse?
Correct answer
B,C,D,E
Rationale
The correct answer is B, C, D, and E.
B: Gastrointestinal findings may indicate digestive issues that require further assessment.
C: Muscle movement findings can indicate neuromuscular problems that need follow-up.
D: Vital signs are crucial indicators of overall health and may reveal abnormalities needing attention.
E: Urine output can reflect kidney function and hydration status, requiring monitoring.
A: Fluid intake is not a finding but rather a self-reported behavior.
F and G are not provided choices.
In summary, choices B, C, D, and E are essential for follow-up due to their potential impact on the client's health, while choices A, F, and G are not pertinent for immediate follow-up.
B: Gastrointestinal findings may indicate digestive issues that require further assessment.
C: Muscle movement findings can indicate neuromuscular problems that need follow-up.
D: Vital signs are crucial indicators of overall health and may reveal abnormalities needing attention.
E: Urine output can reflect kidney function and hydration status, requiring monitoring.
A: Fluid intake is not a finding but rather a self-reported behavior.
F and G are not provided choices.
In summary, choices B, C, D, and E are essential for follow-up due to their potential impact on the client's health, while choices A, F, and G are not pertinent for immediate follow-up.