Difficulty: Medium
Average Score: 62%
Simulated
Passage / Scenario
Medical History2 days before procedure:
Client takes 80 mg of aspirin PO daily for antiplatelet effects. Client performs moderate intensity exercise for 150 min each week.
Client reports an allergy to latex.
Nurses' Notes
Morning of procedure:
Client reports taking aspirin 80 mg PO this morning with a sip of water.
Diagnostic Results
ÔÇó Hct 37% (37% to 47%)
ÔÇó Hgb 12 g/dL (12 to 16 g/dL)
ÔÇó WBC count 12,000/mm3 (5,000 to 10,000/mm3)
ÔÇó Prothrombin time 21 seconds (11 to 12.5 seconds)
A nurse is caring for a client who is scheduled for a surgical procedure Exhibits:Select the 4 findings that require immediate follow-up.
Correct answer
B,C,D,E
Rationale
The correct answer is B, C, D, and E. Hct level, Prothrombin time, WBC count, and Preoperative medication are crucial findings that require immediate follow-up. Hct level assesses blood volume, Prothrombin time evaluates blood clotting ability, WBC count indicates infection risk, and Preoperative medication ensures safety during surgery. Latex allergy (choice A) is important but not immediate. History of weekly exercise (choice F) is not urgent.