During the change-of-shift report the nurse learns that an assigned client has a hemoglobin level of 8 g/dL. Based on this information the nurse plans to:
A)
space activities in order to conserve energy.
B)
keep the client on strict bed rest to restrict activity.
C)
encourage ambulation to prevent thrombophlebitis.
D)
prevent exposure to infectious diseases.
A
Explanation:
A)
Hemoglobin is the oxygen-carrying protein in red blood cells; 8 g/dL is well below the normal level of 12 to 15 g/dL and would predispose the client to dyspnea, fatigue, and weakness. Strict bed rest would not be necessary. Platelet abnormalities and inactivity place client at risk for thrombophlebitis.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
B)
Hemoglobin is the oxygen-carrying protein in red blood cells; 8 g/dL is well below the normal level of 12 to 15 g/dL and would predispose the client to dyspnea, fatigue, and weakness. Strict bed rest would not be necessary. Platelet abnormalities and inactivity place client at risk for thrombophlebitis.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
C)
Hemoglobin is the oxygen-carrying protein in red blood cells; 8 g/dL is well below the normal level of 12 to 15 g/dL and would predispose the client to dyspnea, fatigue, and weakness. Strict bed rest would not be necessary. Platelet abnormalities and inactivity place client at risk for thrombophlebitis.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
D)
Hemoglobin is the oxygen-carrying protein in red blood cells; 8 g/dL is well below the normal level of 12 to 15 g/dL and would predispose the client to dyspnea, fatigue, and weakness. Strict bed rest would not be necessary. Platelet abnormalities and inactivity place client at risk for thrombophlebitis.
Application
Planning
Physiological Integrity: Reduction of Risk Potential
You might also like to view...
Using Leopold maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus
How should the nurse document the fetal position? a. Right occiput anterior (ROA), vertex b. Left occiput anterior (LOA), vertex c. Right occiput transverse (ROT), breech d. Left occiput anterior (LOA), breech
The National Council Licensure Examination for Practical Nursing (NCLEX-PN) is
1. Taken in order to practice as a nurse. 2. Given as an entrance examination for nursing school. 3. Individualized based on where an examinee resides. 4. Taken in order to practice as a certified nursing assistant (CNA).
Which statement about late childhood (pre-adolescence) is correct?
a. Boys are taller and heavier than girls are. b. Children need factual sex education. c. Family is the center of activities. d. Children accept adult standards and rules without question.
A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? Select all that apply
a. Difficulty using a cell phone b. Long-term memory losses c. Fecal incontinence d. Rapid speech e. Trembling