The nurse is transfusing red blood cells to a client who has sickle cell disease. Which laboratory result indicates that the nurse should discontinue the transfusion?
a. Hematocrit level (Hct), 32%
b. Hemoglobin S, 88%
c. Serum iron level, 300 mcg/dL
d. Total white blood cell count, 12,000/mm3
C
Clients with sickle cell disease are anemic but are not iron deficient. Transfusions are prescribed cautiously to prevent iron overload with repeated transfusions. Iron overload damages the heart, liver, and endocrine organs. Monitor the client's serum ferritin, serum iron (Fe), and total iron-binding capacity (TIBC) during transfusion therapy. The other laboratory values should not result in discontinuation of the transfusion by the nurse.
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A nurse whose primary focus is tertiary prevention of mental disorders would focus on:
a. providing prompt treatment of an individual's mental disorder. b. identifying social supports to prevent the need for hospitalization. c. funding rehabilitative activities to reduce the disability associated with mental disorders. d. forming a preretirement counseling program staffed by professional mental health nurses.
The nurse is reinforcing teaching provided to a patient with a history of acute pancreatitis. Which item should the patient be instructed to avoid?
a. High-sodium foods b. Alcoholic beverages c. Carbonated beverages d. Foods with preservatives
Bromhidrosis can be assessed by:
a. palpation. b. percussion. c. auscultation. d. olfaction.