A nurse is reviewing the medical record of an adult client who is scheduled for a surgical procedure. Select the findings in the medical record that require notifying the provider. (To deselect a finding, click on the finding again.)
Explanation & Rationale
Choice A rationale: Elevated blood pressure increases perioperative cardiovascular risk, raising concern for anesthesia complications and potential hemodynamic instability requiring provider notification before surgery. Choice B rationale: Heart rate of 94/min remains within normal adult range, showing only mild elevation, not clinically significant enough to alter surgical safety or require provider notification. Choice C rationale: Respiratory rate of 18/min is within normal adult range, indicating stable ventilation and no evidence of respiratory compromise, so provider notification is unnecessary. Choice D rationale: Temperature of 38.1°C indicates fever, suggesting infection risk. Fever before surgery increases complications, necessitating provider notification to evaluate postponement or treatment. Choice E rationale: Oxygen saturation of 97% is within normal limits, reflecting adequate oxygenation and no evidence of hypoxemia, so provider notification is not required. Choice F rationale: WBC count of 12,600/mm³ is elevated, indicating infection or inflammation. Infection increases surgical risk, requiring provider notification for evaluation and possible delay of procedure. Choice G rationale: Hemoglobin of 15.5 g/dL is within normal range, showing adequate oxygen-carrying capacity and no evidence of anemia, so provider notification is unnecessary. Choice H rationale: Hematocrit of 43% is within normal adult range, reflecting stable red cell mass and no evidence of hematologic abnormality, so provider notification is not required. Choice I rationale: Platelet count of 200,000/mm³ is within normal range, indicating adequate clotting function and no risk of bleeding disorder, so provider notification is unnecessary.