Difficulty: Medium
Average Score: 75%
Simulated
The nurse reviews clinical data for a client 24 hours postpartum following a vaginal delivery. Which of the following findings should the nurse immediately follow-up with?
Correct answer
C
Rationale
Elevated glucose (C) at 258 mg/dL requires immediate follow-up, indicating possible hyperglycemia. Elevated WBC (A) is normal postpartum, BUN (B) is within range, and urinary output (D) is adequate.