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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?
Hemoglobin 14.9 g/dL
The nurse should identify that packed RBCs a re administered to clients who have a
decreased level of hemoglobin or hematocrit. This h emoglobin level is within the
expected reference range of 14 to 18 g/dL for males and 12 to 16 g/dL for females,
indicating the therapy has been effective.
A nurse working in a n emergency department is triaging four clients. Which of the following
clients should the nurse recommend for treatment first?
A middle adult client who has unstable vital signs.
Using the stable vs unstable approach t o client care, the nurse should recommend
priority treatment for the client who has u nstable vital signs because this client requires
immediate treatment to reduce the risk of further injury o r possible death.
A nurse is caring for a c lient who has fluid volume overload. Which of the following tasks should
the nurse delegate t o the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
A nurse is preparing t o administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198lb. What is t he amount in grams the nurse
should administer?
18 g
A nurse is conduction a physical examination for an adolescent and is assessing the range of
motion of the legs. W hich of the following images indicates the adolescent is abducting the hip
joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
A nurse is caring for a c lient who has hyperthyroidism. Which of the following findings should
the nurse expect?
Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
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