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 ["15"]
Explanation
Step 1: Determine the dosage available per mL.
- The available dosage is 75 mg per 5 mL.
- To find the dosage per mL, divide 75 mg by 5 mL.
- 75 mg ÷ 5 mL = 15 mg/mL.
- Result: 15 mg/mL.
Step 2: Determine how many mL are needed for the prescribed dose.
- The prescribed dose is 225 mg.
- To find the required mL, divide 225 mg by the dosage per mL (15 mg/mL).
- 225 mg ÷ 15 mg/mL = 15 mL.
- Result: 15 mL.
So, the nurse should administer 15 mL of clindamycin palmitate oral suspension every 8 hours.
Correct Answer is B
Explanation
Choice A reason: Use Wool Blankets on Your Bed
Using wool blankets is not recommended for clients on home oxygen therapy. Wool and other materials that can generate static electricity pose a fire hazard when used around oxygen. Instead, clients should use cotton or other non-static generating materials to reduce the risk of fire.
Choice B reason: Do Not Adjust the Oxygen Flow Rate
This statement indicates an understanding of the teaching. Clients should not adjust the oxygen flow rate unless instructed by their healthcare provider. The prescribed flow rate is set to meet the client’s specific needs, and any changes could lead to inadequate oxygenation or other complications.
Choice C reason: Store Unused Oxygen Tanks Horizontally
This statement is incorrect. Oxygen tanks should be stored upright and secured to prevent them from falling over. Storing tanks horizontally can increase the risk of damage and potential leaks, which can be hazardous.
Choice D reason: Check Your Oxygen Equipment Once Each Week
While it is important to regularly check oxygen equipment, doing so only once a week may not be sufficient. Clients should check their equipment daily to ensure it is functioning properly and to identify any issues that need to be addressed promptly.
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