The nurse is caring for a patient with anemia. Which laboratory results should the nurse identify as being consistent with this diagnosis? (Select all that apply.)

a. RDW = 12% in a 28-year-old female
b. MCV = 72/mm3 in a 19-year-old female
c. WBC = 7 ? 109/L in a 39-year-old male
d. RBC = 4.4 ? 1012/L in a 31-year-old male
e. WBC = 5.2 ? 109/L in a 22-year-old female
f. RBC = 5.7 ? 1012/L in a 43-year-old female


ANS: D, E
The normal number of red blood cells per mm of blood for a man is 4.7 to 6.1 ? 1012/L; for a female is 4.2 to 5.4 ? 1012/L; low values indicate anemia. Mean corpuscular volume (MCV) and red blood cell distribution width (RDW) are used to help determine the cause of anemia. B. This value is low and indicative of anemia. A. This is normal. C. E. WBC count is indicative of immune function and is not used to determine the presence of anemia.

Nursing

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Which of the following questions is an example of an interventive question by the nurse?

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A nurse is assessing a client and considering the use of physical restraints to keep the client safe. In making this decision, which factors should the nurse consider? (Select all that apply.)

a. A goal is to use the least restrictive device for the shortest possible time. b. Alternatives to restraint should be tried first as death and injury can occur. c. How to communicate with the physician so an order is signed every 48 hours. d. The frequency with which the client must be re-assessed. e. The types and sizes of restraints the facility has available.

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The complementary modality that has been shown to decrease feelings of loneliness is:

a. energy therapy b. hypnotherapy c. music therapy d. pet-assisted therapy

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