Exhibits
What laboratory specimens would the nurse expect for the provider to order? Select all that apply.
Blood culture
Prothrombin time
Hemoglobin and hematocrit
Type and screen
Albumin
Lipid panel
Correct Answer : A,B,C,D
A. Blood culture is essential to identify any potential infection that the patient may have, which is a common complication after trauma.
B . Prothrombin time is crucial for assessing the blood's clotting ability, especially since the patient has a suspected fracture and could be at risk of bleeding.
C . Hemoglobin and hematocrit are fundamental tests to evaluate for anemia or blood loss, which is particularly relevant given the patient's fall and the possibility of internal injuries. D . Type and screen is necessary in case the patient requires a blood transfusion due to the injuries sustained from the fall.
E . Albumin is not typically a priority in acute trauma settings and would not necessarily be expected as an immediate test.
F . Lipid panel is not relevant in the acute management of trauma and is not typically ordered in the emergency setting
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 2+ pitting edema of the feet. While edema requires monitoring and may necessitate some adjustments in care, it does not directly impact the ability to provide a bed bath.
B. Pallor. Pallor indicates potential anemia or poor circulation but does not directly impact the provision of a bed bath.
C. Orthopnea. Orthopnea, difficulty breathing when lying flat, is critical to consider when planning a bed bath. The client may need to be positioned with the head elevated to facilitate breathing and ensure comfort during the bath.
D. Right-sided paralysis. Paralysis requires careful handling to prevent injury, but it is not as
immediately critical to the bathing process as orthopnea, which directly affects the client's ability to breathe comfortably.
Correct Answer is ["0.8"]
Explanation
- Convert the client's weight from pounds to kilograms (kg).
- Calculate the enoxaparin sodium dosage per day based on the client's weight and the prescribed dosage of 1.5 mg/kg/day.
- Divide the enoxaparin sodium dosage by the concentration of the medication in the prefilled syringe (120 mg/0.8 mL) to determine the volume to administer.
Step 1: Convert weight from pounds to kilograms
-
- Client's weight in kg = Client's weight in pounds / 2.2
-
- Client's weight in kg = 176 pounds / 2.2 = 80 kg
Step 2: Calculate enoxaparin sodium dosage per day
-
- Enoxaparin sodium dosage (mg/day) = Client's weight (kg) × Prescribed dosage (mg/kg/day)
- Enoxaparin sodium dosage (mg/day) = 80 kg × 1.5 mg/kg/day = 120 mg/day
Step 3: Determine the volume to administer
-
- Volume to administer (mL) = Enoxaparin sodium dosage (mg/day) / Medication concentration (mg/mL)
- Volume to administer (mL) = 120 mg/day / (120 mg/0.8 mL) = 0.8 mL
Therefore, the nurse should administer 0.8 mL of enoxaparin sodium to the client.
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