A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago. Which laboratory result would the nurse expect to find?
a. Hematocrit of 46%
b. Hemoglobin of 13.8 g/dL
c. Elevated reticulocyte count
d. Decreased white blood cell (WBC) count
ANS: C
Hemorrhage causes the release of reticulocytes (immature red blood cells) from the bone marrow into circulation. The hematocrit and hemoglobin levels are normal. The WBC count is not affected by bleeding.
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A patient has been prescribed ribavirin for influenza A. The patient is experiencing nausea, vomiting, and diarrhea. What would the nurse be sure to include in the patient teaching about this medication?
A) Do not take with anticholinergic medications. B) Do not take with acetaminophen or aspirin. C) Do not take with antiarrhythmics. D) Do not take with antacids.
One of the nurses on the unit said, "Male patients have a low threshold for pain." What is this type of illogical thinking?
A) Affirming the consequences B) Arguing from analogy C) Deductive reasoning D) Overgeneralizing
An intoxicated client is admitted to your unit and standard orders are instituted including a "banana bag" of IV fluids and a nutritional assessment
Based on these standard orders, what nursing diagnosis would be most appropriate for this client? A) Fluid volume deficit B) Altered nutrition C) Altered health maintenance D) Ineffective individual coping
The nurse instructs the client on proper use of a nasal spray. Which of the following comments by the client indicates correct understanding of the instructions?
a. "I'll need to blow my nose right after I spray." b. "If I feel really congested, I can use extra sprays for more effect." c. "As long as I clean the tip of the container, I can save the remaining medication for another illness." d. "I may stand or sit to administer the medication and I must sniff as I spray."