The nurse assessing a female client with a hemoglobin level of 11 g/dl would expect the client to report
a. chronic fatigue and activity intolerance.
b. no significant manifestations.
c. shortness of breath, worse on exertion.
d. tachycardia and palpitations.
B
Clients with mild anemia (hemoglobin level of 10 to 12 g/dl) are usually asymptomatic.
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Order: Heparin 25,000 units in 1000 mL 0.09% NS, infuse at 100 mL/h. Calculate the units per day if the dose is within the normal daily range (20,000–40,000 units in 24 h)
1. 60,000 units, which is within the normal daily range 2. 2500 units, which is not within the normal daily range 3. 25,000 units, which is within the normal daily range 4. 60,000 units, which is not within the normal daily range
A patient with acute pancreatitis is diagnosed with a pseudocyst. Which of the following should the nurse do to assist this patient?
1. reduce fluid intake 2. monitor urine output 3. limit protein intake 4. increase assessment for signs and symptoms of infection
The nurse instructs the client about caring for a hearing aid at home. Which does the nurse include in client teaching to prevent damage to the hearing aid? The nurse instructs the client to:
1. Store the hearing aid with a desiccant 2. Wash hearing aid in hot soapy water 3. Keep the hearing aid in the bathroom 4. Clean the hearing aid with a pipe cleaner.
A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse?
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