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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 A

Explanation

Rationale:

A. Schizophrenia is typically diagnosed earlier in males compared to females, with onset often occurring in late adolescence to early adulthood.

B. Biologically female clients are generally diagnosed later in life compared to males.

C. Schizophrenia is rarely diagnosed in individuals under the age of 12; it commonly presents in late adolescence or early adulthood.

D. People with schizophrenia are not necessarily more violent than others; rather, violence is not a defining characteristic of the disorder.

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Bananas are high in potassium and should be avoided by clients with chronic kidney disease.

B. Green beans are relatively low in potassium compared to other options and do not need to be avoided.

C. Tomatoes are high in potassium and should be limited in the diet.

D. Raisins are high in potassium and should be avoided.

E. Asparagus is not particularly high in potassium and can generally be included in a renal diet.

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