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    Ati lpn med surg lv3 hemelymph proctored exam
    Select All That Apply

    A pediatric nurse is assisting with the care of a school-age child who has leukemia Exhibits Which of the following data collection findings should the nurse report to the provider? Select the 5 findings that should be reported to the provider.

    Explanation & Rationale

    A. Blood pressure is slightly lower than the previous reading but still within a relatively safe range and is not immediately critical in this context. B. Skin assessment reveals pallor and bruising, which may indicate bleeding or anemia and should be reported. C. Breath sounds show bilateral rhonchi, suggesting possible airway compromise or infection—important to report. D. Oxygen saturation has dropped to 90% on room air, indicating hypoxemia that requires provider attention. E. WBC count is at the lower limit of normal; while important, it is not as immediately critical as signs of respiratory distress. F. Mild subcostal retractions indicate increased work of breathing and potential respiratory compromise, requiring provider notification. G. Respiratory rate is elevated to 30/min, reflecting respiratory distress and should be reported. H. Hemoglobin is within the low-normal range; not immediately alarming, but trends should be monitored.

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