A nurse is caring for a client during a routine prenatal visit.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.
The Correct Answer is []
In this scenario, the client is most likely experiencing iron deficiency anemia, based on the diagnostic results that show low hemoglobin (10 mg/dL), low hematocrit (31%), and low serum ferritin (9 mcg/L), which are below the normal ranges for a pregnant individual.
The correct answers are:
Potential Condition:
- a. Iron deficiency anemia
Actions to Take:
- a. Administer iron supplements (to address the anemia and increase iron levels)
- b. Teach the client about a diet rich in iron (to support iron supplementation and improve dietary intake of iron)
Parameters to Monitor:
- a. Hemoglobin levels (to assess improvements in oxygen-carrying capacity and monitor for anemia)
- b. Hematocrit levels (to monitor the volume of red blood cells and further assess anemia)
By addressing the low iron levels, administering supplements, and providing dietary guidance, the nurse can help correct the anemia. Monitoring hemoglobin and hematocrit will help track the client’s progress in overcoming the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
The answer is 100.
Step 1: Determine the total volume to be infused. = 200 mL
Step 2: Determine the total time for infusion. = 2 hours
Step 3: Calculate the infusion rate in mL/hr. Calculation: 200 mL ÷ 2 hours = 100 mL/hr
The nurse should set the IV pump to deliver 100 mL/hr.
Correct Answer is D
Explanation
Choice A reason:
Handrails are present in the bathroom: Handrails in the bathroom are actually a safety feature, not a risk. They provide support and stability, helping to prevent falls, especially for individuals with decreased vision or mobility issues.
Choice B reason:
Electrical cords are placed along the walls: Electrical cords placed along the walls can pose a tripping hazard, particularly for someone with decreased vision. However, if they are secured properly and not in walkways, the risk can be minimized.
Choice C reason:
Uses a microwave for cooking: Using a microwave for cooking is generally safe and convenient for older adults, especially those with decreased vision. It reduces the risk of burns and fires compared to using a stove.
Choice D reason:
Scatter rugs are present in the kitchen: Scatter rugs are a significant safety risk for older adults, particularly those with decreased vision. They can easily cause tripping and falls, which can lead to serious injuries. It is recommended to remove scatter rugs or ensure they are non-slip and securely fastened.
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