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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?

Skin color

Hemoglobin level

Fluid intake

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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A. "A suicide attempt is the manner in which someone kills themselves. Self-harm is just the person acting out." B. "A suicide attempt is when a person harms themselves with the intent to die but does not. Self-harm is when a client intentionally inflicts harm on themselves but does not have intention to kill themselves." C. "When a client attempts suicide, they do so in a manner by causing self-harm." D. "The two terms are the same and can be used interchangeably." E. Body dysmorphism

Correct Answer is B

Explanation

Rationale:

A. This response incorrectly defines suicide attempts and self-harm and oversimplifies the concept of self-harm.

B. A suicide attempt involves self-harm with the intent to die, whereas self-harm (or self-injury) involves harming oneself without the intention of death. This response accurately differentiates between the two.

C. Suicide attempts can involve self-harm, but not all self-harm is intended as a suicide attempt. This response conflates the terms.

D. The terms are not interchangeable; understanding their differences is crucial for accurate assessment and intervention.

A. ECG report B. Respiratory assessment C. Temperature D. Weight E. Sodium level F. Creatinine level

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

Explanation

Rationale:

A. The ECG shows persistent sinus bradycardia on both December 1 and December 15. While sinus bradycardia is common in anorexia nervosa, its persistence may not necessarily reflect a therapeutic response.

B. The respiratory rate improved from 24/min to 20/min and the respirations are described as even and unlabored on December 15. This indicates a positive response to treatment.

C. The temperature data for December 15 is not provided. However, an increase toward normal temperature would indicate a therapeutic response, but without this data, we cannot confirm.

D. The weight increased from 34.5 kg (76 lb) to 37.2 kg (82 lb), which is a significant therapeutic improvement, reflecting progress in treatment.

E. The sodium level improved from 128 mEq/L to 130 mEq/L. Although the level is still slightly below normal, the upward trend indicates improvement.

F. The creatinine level decreased from 1.2 mg/dL to 0.9 mg/dL, showing improvement in kidney function and response to treatment.

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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?

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Correct Answer is B

Explanation

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

Explanation

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Take full exam for free 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?

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A newly licensed nurse asks a charge nurse, "What is the difference between a suicide attempt and self-harm?" Which of the following responses should the charge nurse give?

Correct Answer is B

Explanation

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

Explanation

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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?