AND ANSWERS WITH COMPLETE SOLUTIONS
Packed RBCs
Red blood cells given for low hemoglobin.
Hemoglobin Reference Range
14-18 g/dL for males, 12-16 g/dL for females.
Unstable Vital Signs
Indicate immediate treatment is necessary.
CNA Delegation
CNA can measure client's daily weight.
Mannitol Administration
0.2g/kg IV bolus for severe oliguria.
Weight Calculation
Client weighing 198 lb receives 18 g mannitol.
Hip Abduction
Moving leg away from body midline.
Hyperthyroidism Symptoms
Includes tremors, tachycardia, and weight loss.
Bacterial Meningitis Sign
Nuchal rigidity indicates possible meningitis.
Newborn Heart Rate Assessment
Auscultate apical pulse for 1 minute.
Thoracentesis Care
Client should avoid coughing during procedure.
Child Sexual Abuse Indicator
Discomfort while walking may indicate abuse.
Crohn's Disease Diet
Low-fiber diet reduces diarrhea and inflammation.
Oliguria Definition
Decreased urine output, often requiring intervention.
Diaphoresis
Excessive sweating, common in hyperthyroidism.
Exophthalmia
Protrusion of the eyeballs, linked to hyperthyroidism.
Tachycardia
Increased heart rate, a symptom of hyperthyroidism.
Pleurisy
Inflammation of pleura, may require thoracentesis.
Auscultation Difficulty
Newborns have rapid heart rates complicating assessment.
Daily Weight Monitoring
Important for assessing fluid volume status.
Physical Examination
Assessing range of motion in adolescents.
, Emergency Department Triage
Prioritize unstable clients for immediate care.
Fluid Volume Overload
Condition requiring careful monitoring and intervention.
Continuous Passive Motion (CPM) Machine
Used post-knee arthroplasty for joint mobility.
Turn Off CPM During Meals
Promotes client comfort and dietary intake.
IV Access Site Selection
Radial vein of inner arm is preferred.
Osteoporosis Risk Factor
Sedentary lifestyle increases risk of osteoporosis.
Weight-Bearing Exercises
Promote bone health by increasing calcium levels.
Transmission-Based Precautions
Isolate child with varicella to prevent infection spread.
Clogged Gastrostomy Tube
Reposition client to remove kinks first.
Ileostomy Care
Empty pouch when one-third to one-half full.
Hypernatremia
Sodium level above 145 mEq/L indicates risk.
MAOI Dietary Restrictions
Avoid tyramine-rich foods to prevent hypertension.
CNA Delegation
CNA can assist with meal arrangements.
Paracentesis Preparation
Instruct client to void before the procedure.
Rheumatoid Arthritis Care
Plan for frequent rest periods to manage pain.
Fluid-Filled Vesicles
Indicates possible varicella infection in children.
Hemodialysis History
Monitor lab values post-dialysis for abnormalities.
Skin Irritation Prevention
Empty ileostomy pouch to avoid leakage.
Client Comfort Measures
Ensure comfort during procedures and treatments.
Urgent vs Nonurgent Care
Prioritize actions based on client needs.
Subcutaneous Tissue Adequacy
Select veins with sufficient tissue for IV access.
Client Education for Osteoporosis
Teach about lifestyle changes to improve bone health.
Kinked Feeding Tube
Repositioning can resolve tube clogging issues.