A client has a hematocrit (Hct) of 30%. The nurse interprets this to mean
a. 30% of the blood will be plasma and plasma products.
b. bleeding disorders are possible.
c. the blood is viscous and concentrated.
d. the individual has fewer red blood cells than normal.
B
Hematocrit measures the percent volume of red cells in whole blood. The normal value in adult women is 37% to 45%.
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The nurse is observing the skin of a client who is taking medications that depress the hematopoietic system and notices multiple areas of ecchymosis on the arms; bleeding for a prolonged period after an IV was started; and reports of black, tarry
stool. What does the nurse understand may be a side effect of this medication that the client displays? A) Leukocytosis B) Leukopenia C) Thrombocytopenia D) Neutropenia
A nurse is providing education at a community center about drug rehabilitation. To demonstrate understanding of the teaching session, a participant would state that which of the following is the "ideal" goal of drug rehabilitation?
a. Reduction of drug use b. Complete cessation of drug use c. Tapering of the dosage of drug use d. Reduction of the cravings for drugs caused by cross-tolerance
A home health nurse was visiting an assigned multiproblem family. The grandmother welcomed her in. Two toddlers were playing on the floor, but none of the other adults was present. Which of the following actions should the nurse take?
a. Complete a developmental assessment on the two toddlers playing on the floor. b. Focus on interacting with the grandmother, who is caring for the toddlers. c. Refuse to stay because none of the other adults were present. d. Spend the majority of time discussing the need for interaction with the toddlers.
When taking a sexual history from a patient, the nurse should:
1. Ask questions that the patient can answer with a "yes" or "no." 2. Ask mostly open-ended questions. 3. Have the patient fill out a comprehensive questionnaire and review it after the patient leaves. 4. Try not to make much direct eye contact.