Which of the following laboratory values is most concerning in a ...

[EY67]

Which of the following laboratory values is most concerning in a client with pregnancy-induced hypertension?
 
  a. Total urine protein of 200 mg/dLb. Total platelet count of 40,000 mm c. Uric acid level of 8 mg/dLd. Blood urea nitrogen 24 mg/dL

Question 2

Which of the following nursing diagnoses is of highest priority for a client with an ectopic pregnancy who has developed disseminated intravascular coagulation (DIC)?
 
  a. Risk for deficient fluid volumeb. Risk for family process interruptedc. Risk for disturbed identityd. High risk for injury

[mceravolo]

Answer to Question 1

ANS: b
Feedback
a. The client's urine protein is elevated. A urine protein of 300 mg/dL in a 24-hour collection is considered concerning.
b. Correct. A platelet count of 50,000 is a critical value and should be reported to the health-care provider immediately. This client is at increased risk of hemorrhage.
c. The uric acid level is only slightly elevated.
d. The BUN is only slightly elevated.

Answer to Question 2

ANS: a
Feedback
a. Correct. The client is at high risk for hypovolemia which is life threatening and takes precedence over any psychosocial or less pressing diagnoses.
b. This is a psychosocial diagnosis and is not life threatening.
c. This is a psychosocial diagnosis and is not life threatening.
d. The client is at risk for injury; however, the diagnosis of deficient fluid volume is more descriptive and has clearly defined goals and interventions.