A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective?
(ANS- hemoglobin 14.9 g/dL
a nurse work
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A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective?
(ANS- hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first?
(ANS- a middle adult client who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel?
(ANS- measure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer?
(ANS- 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint?
(ANS- Moving the leg away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings should the nurse expect?
(ANS- tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect?
(ANS- nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take?
(ANS- auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions?
(ANS- instruct the client to avoid coughing during the procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse?
(ANS- the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet?
(ANS- fiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty. which of the following actions should the nurse take?
(ANS- Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client?
(ANS- radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis?
(ANS- sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the trunk and extremities. which of the following interventions should the nurse identify as the priority?
(ANS- initiate transmission based precautions
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