A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the results, the nurse's priority intervention is to:
a. reduce environmental stimulation to prevent seizures.
b. have the laboratory repeat the analysis with a new specimen.
c. minimize energy expenditure to decrease cardiac workload.
d. administer intravenous fluids to correct the dehydration.
Ans: c. minimize energy expenditure to decrease cardiac workload.
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During group therapy, a client states "When I first started in this group, B wasn't able to make a
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Which of the following assessment findings is most important in determining nursing care for a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNKS)?
A) Hypotension B) Blood pH 7.38 C) Mental changes D) Fever
Which recommendation does the nurse provide for the client with Ménière's disease who has periodic spells of vertigo?
a. "Avoid wearing high-heeled shoes." b. "Put brightly colored rugs on the floor for visibility." c. "Step on a sturdy chair to get items from high shelves." d. "Wait to drive a car until after you have taken your Benadryl."
A nurse manager has recently held an educational program for newly hired nurses on the high acuity care unit. Which of the statements by a participant indicates the need for further education?
1. "The plan of care should ensure the wishes of the patient at the time of death.". 2. "The palliative care plan should seek to ensure the patient and family understands the disease status.". 3. "Advanced directives are not included in the palliative plan of care.". 4. "The goals of medical care should be included in the palliative plan of care.".