A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?.
Cellular hypoxia.
Prolonged bleeding.
Fluid retention.
Impaired immunity.
The Correct Answer is A
Choice A rationale:
Hemoglobin of 10 g/dL and hematocrit of 30% are lower than the normal ranges (Hemoglobin: 13.5-17.5 g/dL for men, 12.0-15.5 g/dL for women; Hematocrit: 38.8-50.0% for men, 34.9-44.5% for women). This can lead to cellular hypoxia as there are fewer red blood cells to carry oxygen.
Choice B rationale:
These lab values do not directly indicate a risk for prolonged bleeding.
Choice C rationale:
These lab values do not directly indicate a risk for fluid retention.
Choice D rationale:
While severe anemia can affect the immune response, these values do not directly indicate impaired immunity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Indwelling urinary catheters can actually increase the risk of UTIs.
Choice B rationale:
Offering the bedpan every 2 hours may not be necessary or practical for all patients.
Choice C rationale:
Cleaning the perineum from back to front can introduce bacteria to the urinary tract, increasing UTI risk.
Choice D rationale:
Adequate hydration can help flush bacteria out of the urinary tract, reducing UTI risk.
Correct Answer is D
Explanation
Choice A rationale:
This statement is incorrect. Impulsive behavior is more commonly associated with right hemispheric CVAs.
Choice B rationale:
This statement is incorrect. A left hemispheric CVA typically results in right-side motor function impairment.
Choice C rationale:
This statement is incorrect. Loss of depth perception is more commonly associated with right hemispheric CVAs.
Choice D rationale:
This statement is correct. Left hemispheric CVAs often result in language and speech impairments, so establishing effective communication would be a key goal in rehabilitation.
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