NursingPlex
    Sign In
    RN Comprehensive Predictor 2023 Proctored Exam
    Select All That Apply

    A nurse is caring for a client who is admitted to the medical-surgical unit. Exhibits The nurse reviews the client's laboratory findings and vital signs. Select the 5 findings that require immediate follow-up.

    Explanation & Rationale

    A. Blood pressure (90/50 mm Hg): Indicates hypotension, possibly due to gastrointestinal (GI) bleeding. This can compromise perfusion and requires immediate intervention. B. Hemoglobin and hematocrit (Hgb 9.1 g/dL, Hct 27%): Suggests significant anemia, likely from chronic GI blood loss due to NSAID-induced gastric ulcer or H. pylori infection. C. Current medications (Diclofenac 100 mg daily): NSAIDs (e.g., diclofenac) are known to cause gastric irritation, ulcers, and GI bleeding, especially in a client with H. pylori positivity. D. WBC count (6,700/mm³): Normal, no signs of infection or acute inflammatory response. E. Stool results (Hemoccult positive): Indicates GI bleeding, which, along with anemia and hypotension, suggests ongoing blood loss that needs urgent evaluation. F. Heart rate (118/min): Tachycardia is a compensatory response to hypotension and blood loss, signaling hemodynamic instability. G. Respiratory rate (18/min): Normal, no respiratory distress or signs of hypoxia. H. Temperature (37.5°C/99.5°F) – Mildly elevated but not concerning in this context.

    🔒 Submit your answer to reveal