Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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On the morning of Mr. Coleman’s planned cholecystectomy, he awakens with a pain in his right scapular area and thinks he slept in poor position. While doing the preoperative check list, the nurse notes that on his routine hematology report, his WBC is 15,000. The nurse’s responsibility at this point is to:
  1. Record this finding in a prominent place on the preoperative checklist and in preoperative nurse’s notes
  2. Nothing. This is not an unusual finding.
  3. Notify the surgeon at once; this is an elevated WBC, indicating an inflammatory reaction
  4. Call the laboratory for a STAT repeat WBC
Explanation
Answer - C - The nurse’s responsibility at this point is to notify the surgeon at once; this is an elevated WBC, indicating an inflammatory reaction. The surgeon should be called, as he/she may treat the acute attack medically and delay the surgery for several days, weeks, or months.
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