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    Wgu rn hesi health assessment proctored exam

    The nurse reviews a client's laboratory results for a client admitted with gastrointestinal (Gl) bleeding who has no visible hemorrhoids on inspection of the anal area. Which laboratory test indicates that the client's bleeding is not yet resolved? Reference Range: Hematocrit (Hct) [42% to 52% (0.42 to 0.52 volume fraction)] Prothrombin time (PT) [11.0 to 12.5 seconds (8596-10096)] Glycosylated hemoglobin (AIC) [4% to 5.996]

    Explanation & Rationale

    A. A change in hemoglobin A1C is not directly related to resolving GI bleeding. B. A decrease in hematocrit indicates ongoing blood loss or poor fluid volume status. It suggests that the gastrointestinal bleeding is not yet resolved. C. A negative guaiac test would indicate no blood is present in the stool, suggesting the bleeding has resolved. D. A prolonged prothrombin time (PT) could indicate clotting issues but does not necessarily reflect whether GI bleeding has resolved.

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