Anemia & Culture

The nurse assess for acute kidney injury (AKI) in the client who is 70 kg and has uncontrolled diabetes. Which findings requires further assessment for AKI?

• 230 mL urine output in 6 hours

• Arterial pH of 7.38

• Creatinine 2.5 mg/dL

• Potassium 4.5 mEq/L

The client with chronic kidney disease (CKD) has a hemoglobin level drawn. The nurse knows that what hemoglobin level is common for clients with CKD?

• 10 g/dL

• 13 g/dL

• 16 g/dL

• 19 g/dL

Two days after a repair for an abdominal aortic aneurysm, a client requires 1 unit of packed red blood cells (PRBCs) for hemoglobin of 7.6 g/dL and hematocrit of 23.1%. After receiving the PRBCs from the blood bank, which action does the nurse perform first at the client's bedside?

• Get the client's signed consent for blood

• Obtain a baseline set of vital signs

• Start a 20-gauge IV access

• Verify the blood with a second nurse

A client who was burned three days ago has diuresed 3,000 mL over the past 24 hours and has decreasing edema. The nurse notifies the healthcare provider (HCP) of what lab result during the fluid mobilization phase?

• Hematocrit 29%

• Hemoglobin 8.8 g/dL

• Potassium 3.1 mEq/L

• Sodium 133 mg/dL

A nurse reviews the CBC of a healthy client. Which WBCs does the nurse expect to be the most numerous?

• Basophils

• Eosinophils

• Lymphocytes

• Neutrophils

A nurse counsels a client with anemia on iron-rich foods. Which foods does the nurse encourage the client to eat? Select all that apply.

• Baked Beans

• Bananas

• Chicken Liver

• Pistachios

• Whole Milk

The nurse receives report on the client with sickle cell anemia. Which population does the nurse recognize is at increased risk for having sickle cell anemia?

• African American

• Caucasian

• Hispanic

• Native American

The nurse provides discharge teaching to a female client prescribed ferrous sulfate for iron-deficiency anemia. Which client statement requires intervention by the nurse?

• "I am training for a 5K run at the end of the month"

• "I will take a stool softener if the iron tablets cause me to become constipated"

• "I'm hoping to become pregnant in the next year and a half"

• "The iron tablets should lessen the fatigue I feel when my colitis flares up"

The unit secretary calls a nurse regarding four clients who have called for assistance. Which client does the nurse assess first?

• A client who has an order for discharge and is ready to go home

• A client who is post-appendectomy reporting continuous, achy pain

• A client with a pneumothorax reporting shortness of breath

• A client with asthma who would like to ambulate in the hallway

A client admitted to the hospital asks the nurse whether it would be acceptable for the client to bring food from home to eat that better meets the client's cultural preferences. What is the nurse's best response?

• "I'm sorry, but you are not permitted to bring food from home."

• "Food from home has too much fat and salt and should be avoided."

• "Food from home is fine as long as it does not violate hospital policy or contradict the prescribed diet."

• "No, you must learn to adjust to the food that is provided."