The client has iron deficiency anemia. Which is the nurse's priority for prevention with suitably planned nursing care?
1. Pallor
2. Jaundice
3. Cyanosis
4. Erythema
3
3. The nurse's priority to prevent is cyanosis because it is a late sign of hypoxia. The client is most likely pale already, so the nurse cannot prevent pallor. Because the client has a narrow margin between adequate oxygenation and hypoxia, the nurse's priority is to prevent hypoxia until the client's iron stores and erythrocyte counts in-crease to restore pinkness to the skin.
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A nurse is caring for four clients. After the hand-off report, which client does the nurse see first?
a. Client with osteoporosis and a white blood cell count of 27,000/mm3 b. Client with osteoporosis and a bone fracture who requests pain medication c. Post-microvascular bone transfer client whose distal leg is cool and pale d. Client with suspected bone tumor who just returned from having a spinal CT
The nurse is administering Tylenol PRN to a 9-year-old child on the pediatric ward of the hospital
Which of the following reflect nursing actions that follow the rules of the "eight rights" of pediatric medication administration? Select all answers that apply. A) The nurse identifies the child by checking the name on the child's chart. B) The nurse makes sure the medication is given within the hour of the ordered time. C) The nurse checks the documented time of the last dosage administered. D) The nurse calculates the dosage according to the child's weight. E) The nurse explains the therapeutic effects of the medication to the child and parents. F) The nurse administers the medication even though the child is adamant about not taking it.
A client tells the nurse that his recent blood work indicated his high-density lipids (HDLs) were 40 mg/dL and asks whether this is a "good level." What should the nurse respond?
1. "HDLs should be lower than your cholesterol level." 2. "That is a good level. You must be eating healthy." 3. "You should ask your primary care provider to explain the results." 4. "It is desirable to have a level above 60 mg/dL."
When the nurse is assisting the client in the selection of complementary therapies, which of the following factors is most important to consider?
A) Supporting the client's choice at all costs B) Evidence-based support C) Certification of the therapist D) Cultural beliefs of the client