Which laboratory test result in a client with sickle cell disease in crisis indicates that the packed red blood transfusion should be discontinued?
A. Hct of 32%
B. HgbS of 88%
C. Serum iron level of 300 mcg/dL
D. Total WBC count of 12,000/mm3
C
Clients with sickle cell disease are anemic but are not iron deficient. Transfusions are prescribed cautiously to prevent iron overload with repeated transfusions. Iron overload damages the heart, liver and endocrine organs. Monitor the client's serum ferritin, serum iron (Fe), and total iron-binding capacity (TIBC) during transfusion therapy.
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Which of the following does the nurse use to categorize the desired end result of nursing care delivered to a patient when using problem-oriented nurses' notes?
a. NANDA nursing diagnosis b. Nursing Goals Classification c. Nursing Outcomes Classification d. Nursing Interventions Classification
Which of the following best describes the achievement that Lemuel Shattuck is well known for in the United States?
a. Publishing the census of Boston, which demonstrated the effect of sanitary reforms b. Demonstrating the usefulness of vital statistics by analyzing environmental data c. Developing ideas about public health care reform, which were eventually adopted d. Establishing a state board of health to deal with the problems he had noted
Nursing interventions to support the family caring for a client with Alzheimer's disease include (Select all that apply)
a. encouraging emotion-focused coping mechanisms. b. helping the family identify safety concerns and modifying the home. c. showing the family how to deal with behavioral problems. d. teaching the family alternative communication techniques.
An important nursing intervention when caring for a child who is experiencing a seizure is to:
a. Describe and record the seizure activity observed. b. Restrain the child when seizure occurs to prevent bodily harm. c. Place a tongue blade between the teeth if they become clenched. d. Suction the child during a seizure to prevent aspiration.