Alternate format test 4 (SATA)

A 78-year-old patient is transferred within an acute care facility to long-term care with the diagnosis of a stroke. The patient has become increasingly confused over the past 2 days. Multiple laboratory tests are prescribed. Which findings would cause the nurse to contact the healthcare provider? Select all that apply. 1. Heart rate of 86 beats per minute. 2. Blood glucose level of 96 mg/dL. 3. Urinalysis positive for nitrites. 4. Potassium of 3.8 mEq/L. 5. Temperature of 101.3⁰ F (38.5⁰ C). 6. White blood cell count of 18,000/mm3. -Show/hide explanation 1) The heart rate, blood glucose, and potassium levels are within normal limits. 2) The heart rate, blood glucose, and potassium levels are within normal limits. 3) CORRECT— Positive nitrite in the urine is an indication of a urinary tract infection. 4) The heart rate, blood glucose, and potassium levels are within normal limits. 5) CORRECT— Confusion in an elderly patient is common when the patient has a urinary tract infection. Elevated temperature and WBC are indications of an infection. 6) CORRECT— Elevated temperature and WBC are indications of an infection. This patient has a urinary tract infection that needs to be treated before urosepsis develops. Promptly reporting outstanding values is the registered nurse's responsibility. A nurse cares for clients diagnosed with depression in the mental health facility. Which comments, if made by clients to the nurse, concern the nurse? Select all that apply. 1. "I am giving my best friend my favorite guitar." 2. "I will never have to work on projects ever again." 3. "I do not like to communicate through Facebook." 4. "I have more energy than I had before coming here." 5. "Why do you bother with me?" 6. "I have not slept in 2 days." -Show/hide explanation 1) CORRECT— Warnings are common among those who are suicidal. The nurse needs to be aware of the warnings and act upon them to divert the patient from suicide. These warnings include giving away possessions. 2) CORRECT— Wrapping up business affairs is another common warning that the client has suicidal ideation.