V.M. complains of being short of breath. Do you believe the low hemoglobin level is
responsible for his complaints?
What will be an ideal response?
Not likely; although patients with SCD have marked anemia, it is usually well tolerated. This morning
V.M.'s Hgb was 6.7 g/dL before he received 2 units PRBCs. The transfusion should have increased
his Hct by 3% per unit and his Hgb by 1 g/unit; his Hgb should be approximately 8.7 g/dL at this
time. He did not begin to experience shortness of breath until 1 to 11?2 hours after the transfusion,
consistent with volume overload.
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In the event a critically ill patient is expressing ineffective behaviors, the nursing action would be to
A) recognize and avoid the most detrimental behaviors. B) minimize and redirect these behaviors. C) anticipate these behaviors and then ignore them. D) ignore these behaviors but discuss them with the family.
The type of leadership in which the leader displays little trust or confidence in employees and therefore makes all decisions is called:
a. democratic. b. laissez-faire. c. autocratic. d. authoritative.
An elderly client has recently been prescribed an MAOI medication. Which meal choice would indicate a need for further education regarding this medication?
A) Baked chicken, green beans, and cherry pie B) Pepperoni pizza and diet soda C) Fried chicken, creamed corn, and French fries D) Chicken salad on a croissant, carrot sticks, and fresh fruit
The nurse who checks on equipment and not the client is treating the client in a way that:
a. empowers the client. b. heals the client. c. depersonalizes the client. d. reassures the client.