NSG 4060 Comprehensive ATI Practice B

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs. ago. Which of thefollowing findings should indicate to the nurse that the therapy has been effective? Hemoglobin 14.9 g/dL The nurse should identify that packed RBCs are administered to clients who have adecreased level of hemoglobin or hematocrit. This hemoglobin 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 followingclients should the nurse recommend for treatment first? A middle adult client who has unstable vital signs. Using the stable vs unstable approach to client care, the nurse should recommend priority treatment for the client who has unstable vital signs because this client requiresimmediate treatment to reduce the risk of further injury or possible death. A nurse is caring for a client who has fluid volume overload. Which of the following tasks shouldthe nurse delegate to 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 nurseshould delegate this task to them. A nurse is preparing to 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 the amount in grams the nurseshould 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 hipjoint? In the correct image, the adolescent is abduction the hip joint by moving the leg awayfrom the midline of the body. A nurse is caring for a c lient who has hyperthyroidism. Which of the following findings shouldthe nurse expect? Tremors Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,weight loss, insomnia, and exophthalmia.