A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused assessment should the nurse complete next?

a. Partial thromboplastin time
b. Hemoglobin and hematocrit
c. Liver enzymes
d. Basic metabolic panel


ANS: B
Pallor conjunctivae signifies anemia. The nurse should assess the client's hemoglobin and hematocrit to confirm anemia. The other laboratory results do not relate to this client's potential anemia.

Nursing

You might also like to view...

A 74-year-old male patient is being treated in the hospital for a stroke and is undergoing an extended stay on a rehabilitation unit. The patient's wife has been participating actively in his care and performs much of his feeding and hygiene

This evening, the patient's wife has brought in a number of healthy snacks to keep at his bedside. Knowing that the patient's medication regimen includes simvastatin, the nurse would remove which of the following items? A) Purple grapes B) Cranberry cocktail C) Grapefruit juice D) Trail mix (salted nuts and seeds)

Nursing

The nurse is administering finasteride (Proscar) and doxazosin (Cardura) to a 67-year-old client with benign prostatic hyperplasia. What precautions are related to the side effects of these medications? (Select all that apply.)

a. Assessing for blood pressure changes when lying, sitting, and arising from the bed b. Immediately reporting any change in the alanine aminotransferase laboratory test c. Teaching the client about the possibility of increased libido with these medications d. Taking the client's pulse rate for a minute in anticipation of bradycardia e. Asking the client to report any weakness, light-headedness, or dizziness

Nursing

A nurse is using Healthy People 2020 as a guide to improve the health and well-being of the community. Which of the following strategies would the nurse most likely implement?

a. Address the root causes of health problems b. Choose one of the 28 focal areas for emphasis in funding and media attention c. Concentrate on the goals of improving the quality of life d. Continue funding expansion of the health care system e. Expand efforts to put all medical records on electronic media

Nursing

The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful?

a. "I can take 800 mg ibuprofen for pain control." b. "I will safely remove and reapply nasal packing daily." c. "My nose will look normal after 24 hours when the swelling goes away." d. "I will keep my head elevated for 48 hours to minimize swelling and pain."

Nursing