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
a nurse working in an 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
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?
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?
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?
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?
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?
nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions
should the nurse take?
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?
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?
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