A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the

following findings should indicate to the nurse that the therapy has been effective?

Hemoglobin 14.9 g/dL

The nurse should identify that packed RBCs a re administered to clients who have a

decreased level of hemoglobin or hematocrit. This h emoglobin level is within the

expected reference range of 14 to 18 g/dL for males and 12 to 16 g/dL for females,

indicating the therapy has been effective.

A nurse working in a n emergency department is triaging four clients. Which of the following

clients should the nurse recommend for treatment first?

A middle adult client who has unstable vital signs.

Using the stable vs unstable approach t o client care, the nurse should recommend

priority treatment for the client who has u nstable vital signs because this client requires

immediate treatment to reduce the risk of further injury o r possible death.

A nurse is caring for a c lient who has fluid volume overload. Which of the following tasks should

the nurse delegate t o the CNA?

Measure the client’s daily weight

It is within the CNAs range of function to measure a client’s daily weight, so the nurse

should delegate this task to them.

A nurse is preparing t o administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a

client who has severe oliguria. The client weighs 198lb. What is t he amount in grams the nurse

should administer?

18 g

A nurse is conduction a physical examination for an adolescent and is assessing the range of

motion of the legs. W hich of the following images indicates the adolescent is abducting the hip

joint?

In the correct image, the adolescent is abduction the hip joint by moving the leg away

from the midline of the body.

A nurse is caring for a c lient who has hyperthyroidism. Which of the following findings should

the nurse expect?

Tremors

Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,

weight loss, insomnia, and exophthalmia.