The nurse has admitted a child with a cyanotic heart defect. Which initial lab result will the nurse anticipate?
1. A low platelet count
2. A high white blood cell count
3. A high hemoglobin
4. A low hematocrit
3
Rationale 1: The platelets would be normal.
Rationale 2: The white blood cell count would not be high unless an infection was present.
Rationale 3: The child's bone marrow responds to chronic hypoxemia by producing more red blood cells to increase the amount of hemoglobin available to carry oxygen to the tissues. This occurs in cases of cyanotic heart defects.
Rationale 4: The hematocrit would not be low.
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The nurse monitors for which clinical manifestations in a client with nephrotic syndrome? (Select all that apply.)
a. Proteinuria, >3.5 g/24 hr b. Hypoalbuminemia c. Dehydration d. Lipiduria e. Dysuria f. Costovertebral angle (CVA) tenderness
The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective data?
a. Blood pressure 158/96 mm Hg b. Weight 255 pounds c. The patient reports that he uses the herbal product ginkgo. d. The patient's laboratory work includes a complete blood count and urinalysis.
A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places. Which of the following levels of prevention is being implemented?
a. Primary b. Secondary c. Tertiary d. Health promotion