B. Potassium 5.2 mEq/L
C. Urine specific gravity 1.020
D. Hct 62%
- ANSWER>>C
Within the expected range of 1.005-1.030
--
A, sodium range is 136-145
B, potassium range is 3.5-5
D, Hct range is 37%-52%
A nurse is monitoring the laboratory findings for a client who is postoperative following a total hip arthroplasty 6 hr ago. Which of the following values indicates that the client has an increased risk for bleeding
A. PT 11.5 seconds
B. aPTT 35 seconds
C. Platelets 80,000
D. RBC 4.0 million
- ANSWER>>C
platelet range is 150,000-400,000
--
A, PT range is 11-12.5
B, aPTT range is 30-40 seconds
D, RBC range is 4.2-6.1 million. A low RBC can indicate that bleeding has occurred, but it does not indicate that the client is at risk for bleeding
A nurse is admitting a client who has a cervical spinal cord injury following a motor vehicle crash. Which of the following interventions is the nurse's priority while caring for this client
A. Change the client's position every 2 hours
B. Pad pressure points at the edges of the client's cervical collar
C. Palpate the client's abdomen for bladder distention
D. Assist the client with quad coughing
- ANSWER>>D
The greatest risk to a client who has a cervical spinal cord injury is an obstructed airway; the priority is to ensure the client can clear their airway. Apply abdominal pressure as the client coughs (quad coughing)
A nurse is caring for a client who is receiving a blood transfusion. Which of the following findings indicates that the client is experiencing transfusion-associated circulatory overload
A. Nasuea
B. Hypothermia
C. Dyspnea
D. Bradycardia
- ANSWER>>C
Dyspnea is an indication of possible transfusion associated circulatory overload, leading to hypertension, bounding pulses, and confusion. Dyspnea can also indicate transfusion related acute lung injury to an anaphylactic response, which also causes wheezing, chest tightness, cyanosis, and low BP
--
A, nausea can indicate an acute hemolytic transfusion reaction
B, transfusion reactions include acute hemolytic, febrile, mild allergic, and anaphylactic
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