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A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?

A.

Skin color

B.

Hemoglobin level

C.

Fluid intake

D.

Temperature

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. While skin color may be an indicator of overall health, it is not the most crucial data point before administering packed RBCs.

 

B. The hemoglobin level is the most important data to assess before administering packed RBCs, as it provides direct information about the client’s need for the blood transfusion and helps evaluate the effectiveness of the intervention.

 

C. Fluid intake is important in overall client assessment but is not as immediately relevant as hemoglobin levels when preparing to administer packed RBCs.

 

D. Temperature should be monitored to check for any signs of infection, but it is not the primary concern when deciding to proceed with a blood transfusion.


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View Related questions

Correct Answer is B

Explanation

Rationale:

A. Adverse effects of treatment might impact overall health but are not direct risk factors for developing mental illness.

B. Immune system dysfunction can contribute to the development of mental health disorders. Research shows that immune system abnormalities and chronic inflammation are linked to mental health conditions.

C. Exposure to environmental allergies does not have a direct link to the development of mental illness, though it can affect overall well-being.

D. Medication adherence affects treatment outcomes but is not a contributing factor to the development of mental health disorders.

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

Explanation

Rationale:

A. Asking about salary range is not directly relevant to the client’s mental health condition and would not help in understanding the barriers to employment.

B. Inquiring if the client has served time in prison may reveal a history that could impact their employability, as some employers may have restrictions on hiring individuals with criminal records.

C. Asking about the type of vehicle the client drives is not directly related to the client’s mental health or barriers to employment, and it would not provide insight into why the client is struggling to find work.

D. Asking about drug use is pertinent as substance abuse can interfere with employment opportunities and overall functioning.

E. Knowing whether the client is taking antipsychotic medication is important because adherence to treatment can significantly affect the client’s ability to function in a work environment.

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