A nurse in a hospital setting is completing an admission assessment on a client with anemia, which assessment is essential?

Age and gender

Health history, including menstrual history in women

Family history

Lifestyle assessments, such as exercise routines

Answer and Explanation

The Correct Answer is B

A. Age and gender: While age and gender can provide some context for the prevalence of anemia (e.g., women of childbearing age are more likely to have iron-deficiency anemia), they are not as essential for understanding the specific cause of anemia as health history.

B. Health history, including menstrual history in women: Health history, particularly menstrual history in women, can provide important clues about potential causes of anemia, such as excessive blood loss during menstruation or other underlying health issues.

C. Family history: Family history can be useful, especially in identifying inherited forms of anemia (e.g., sickle cell anemia or thalassemia), but it is not as immediately critical as assessing the client’s current health and menstrual history.

D. Lifestyle assessments, such as exercise routines: While lifestyle factors can impact overall health, they are not as directly relevant to the cause of anemia as the client’s health history, particularly when evaluating possible blood loss or nutritional deficiencies.

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Correct Answer is ["A","B","E"]

Explanation

A. The student should use his quick-relief inhaler: The yellow zone indicates that the asthma is worsening, and the student should use a quick-relief inhaler (e.g., albuterol) to help relieve symptoms and prevent further exacerbation.

B. The student's asthma is not well controlled: The yellow zone typically suggests that asthma is not well controlled, and the student may be experiencing some symptoms (e.g., coughing, wheezing, shortness of breath). This requires action to prevent further worsening.

C. The nurse should obtain a second expiratory flow rate: Repeating the peak flow measurement is not always necessary. If the student is already in the yellow zone, it’s more important to initiate management and then reassess the symptoms and peak flow afterward.

D. The student needs to go to the hospital: A yellow zone reading does not necessarily mean the student needs to go to the hospital. It indicates the need for intervention but is not an emergency situation like the red zone would be, which requires immediate medical attention.

E. The student's peak flow is 50% to 80% of his best peak flow: The yellow zone is defined as 50% to 80% of the individual's best peak flow. This indicates that asthma symptoms are present and worsening but not yet at a critical level that would place the student in the red zone.

A. "I understand what you mean, you can never be sure if the blood is tainted." B. "I understand your concern. The blood is screened very carefully for different viruses as well as HIV." C. "If you don't have the blood transfusions, you may not make it through this episode of bleeding." D. "No one has gotten HIV from blood in a long time. You have to have the transfusion."

Correct Answer is B

Explanation

A. "I understand what you mean, you can never be sure if the blood is tainted." This response would be inappropriate as it may increase the patient's anxiety and perpetuate fear about the transfusion. It does not provide accurate information about the safety of blood transfusions.

B. "I understand your concern. The blood is screened very carefully for different viruses as well as HIV." This response acknowledges the patient's concern while providing accurate and reassuring information. Blood donations are rigorously screened for HIV and other infectious diseases to ensure safety.

C. "If you don't have the blood transfusions, you may not make it through this episode of bleeding." While this statement is true, it focuses on the negative consequence without addressing the patient's fear. It also lacks a supportive and informative approach to the patient's concern about HIV.

D. "No one has gotten HIV from blood in a long time. You have to have the transfusion." This is dismissive and does not adequately address the patient's concern or provide accurate information about the safety measures in place for blood transfusions. It also pressures the patient into a decision without educating them.

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A nurse in a hospital setting is completing an admission assessment on a client with anemia, which assessment is essential?

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Naxlex Comprehensive Predictor Exams

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is B

Explanation

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