A nurse caring for a client with sickle cell disease (SCD) reviews the client's laboratory work. Which finding should the nurse report to the provider?
a. Creatinine: 2.9 mg/dL
b. Hematocrit: 30%
c. Sodium: 147 mEq/L
d. White blood cell count: 12,000/mm3
ANS: A
An elevated creatinine indicates kidney damage, which occurs in SCD. A hematocrit level of 30% is an expected finding, as is a slightly elevated white blood cell count. A sodium level of 147 mEq/L, although slightly high, is not concerning.
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A new mother with a 6-hour-old infant calls the nursing station complaining that her baby is so cold he is shivering. What action by the nurse is most appropriate?
A. Bring warm blankets to wrap the baby in. B. Encourage the mother to feed him a warmed bottle. C. Perform a thorough head-to-toe assessment. D. Set the room temperature higher.
Which instructions would the nurse include in discharge teaching for parents of a newborn?
A) Introducing solid foods immediately to increase sleep cycle B) Demonstrating comfort measures to quiet a crying infant C) Encouraging daily outings to the shopping mall with the newborn D) Allowing the infant to cry for at least an hour before picking up
A nurse researcher documents the number of times a mother made positive, encouraging comments to the toddler. This is an example of what?
A) Structured self-report B) Unstructured self-report C) Structured observation D) Unstructured observation
A nurse is emphasizing the importance of early detection of breast carcinoma to a female client who has come for her first screening for breast cancer. Which of the following recommendations should the nurse make to this client?
A) Women at increased risk should have breast ultrasonography performed. B) Yearly mammograms are recommended starting at age 20. C) Clinical breast examination (CBE) is recommended every year for women aged 20–30. D) Breast self-examination (BSE) is recommended for women starting at age 40.