The nurse should anticipate an elevated hemoglobin level in a
a. 40-year-old woman with congestive heart failure.
b. client who lives in Colorado.
c. client with iron deficiency anemia.
d. dehydrated elderly client being given IV fluids.
B
Hemoglobin levels are frequently elevated in people who live in high altitudes (above 10,000 feet). The other three clients would not show an elevated hemoglobin level.
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The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development
Which of the following responses from the mother indicates a need for further teaching? A) "I will give him a pacifier during feeding time." B) "We need to keep feeding time very quiet." C) "We need to make sure he doesn't lose the desire to eat by mouth." D) "Sucking produces saliva, which aids in digestion."
A nurse is caring for a client who has been prescribed an opioid. Which of the following would the nurse include in the ongoing assessment?
A) Review the client's health history. B) Review the client's allergy history. C) Inquire about the pain experienced by the client. D) Review the client's past and current drug therapies.
The nurse observes hematuria in a client receiving IV cyclophosphamide (Cytoxan). After notifying the health care provider, what intervention is the nurse's priority?
a. Obtain a urine specimen. b. Assess laboratory studies. c. Increase hydration. d. Stop the medication.
Match each term to the correct statement below.
A. normal Celsius oral temperature B. normal Fahrenheit axillary temperature C. normal Fahrenheit rectal temperature D. normal Fahrenheit oral temperature E. red tip F. blue tip