Medical Surgical Labs CBC #3

Question

The nurse is caring for a client who is scheduled for surgery the following day. Complete blood count reveals WBC 9000, RBC 5 million, hemoglobin, and hematocrit 16 and 48, and platelets 350,000. Which action by the nurse is best?

Answers

  1. Report the critical lab to the HCP.
    • Rationale:

      This answer is not correct because there are no critical labs to be reported. All labs are in normal range.

  2. Prepare the client for blood transfusion.
    • Rationale:

      This answer is not correct because the H & H are normal. There is no need for a blood transfusion.

  3. Arrange for leukapheresis.
    • Rationale:

      This answer is not correct because the client’s WBC count is normal, between 5,000-10,000. Leukapheresis removes white blood cells from blood when there are too many.

  4. Continue to monitor.
    • Rationale:

      This answer is correct because the CBC is completely normal. WBC is between 5,000-10,000. Hemoglobin and hematocrit (H & H) levels are between 12-18 g/dL and 36-54 g/dL. Platelets are between 150,000-400,000.

Overview

Labs will frequently be assessed before a surgical procedure. It is important to report any pertinent lab information to the health care provider or surgeon.

Explanation

Learning Outcomes

Before an operation, it is important to assess laboratory studies to prevent any complications that could occur. A normal WBC is between 5,000-10,000. WBCs reveal if there is an infection in the body. Hemoglobin and hematocrit (H & H) levels should be between 12-18 g/dL and 36-54 g/dL. H & H will tell if there is enough oxygenation blood within the body and if the body is properly hydrated. Platelets should be between 150,000-400,000. Platelets are blood clotting proteins. If the platelet count is too low, the client can bleed out during surgery. If the platelet count is too high, the client will have blood clots.

Test Taking Tip

Don’t overthink questions.

Video Rationale