Nurses NotesVital SignsDiagnostic Results 1000:1 unit of packed RBCs started through a 18 g IV in right hand as prescribed. Unit of blood infusing well. IV site dry and intact, without redness or swelling.1015:Client appears anxious and reports a headache and low back pain. Client voided 100 mL of brown-colored urine. Bilateral breath sounds clear and present throughout.1000:Temperature 37.2º C (99º F) Blood pressure 106/56 mm Hg Heart rate 104/min Respiratory rate 20/min Pulse oximetry 96% on room air1015:Temperature 39.6º C (103.3º F) Blood pressure 74/50 mm Hg Heart rate 124/min Respiratory rate 28/min Pulse oximetry 95% on room air0900:Hct 27% (37% to 47%)Hgb 8 g/dL (12 g/dL to 16 g/dL)WBC 7,000/mm³ (5000 to 10,000/mm³)Potassium 4.2 mEq/L (3.5 mEq/L to 5 mEq/L)  Based on the information noted above, which of the following findings requires further action? Select all that apply

The nurse is reviewing the history and physical of a client admitted to a hospital with a diagnosis of ulcerative colitis. Based on this diagnosis, which information should the nurse expect to see on this client’s medical record?

Following successful treatment of Hodgkin’s lymphoma for a 23–year-old woman, which topic will the nurse include in patient teaching?

The client who was recently admitted with stomach cancer appears pale and weak and states feeling fatigued. In reviewing the client’s laboratory results, which component(s) of the CBC should the nurse most associate with the client’s presentation? Select all that apply

A 92-year-old patient is hospitalized with peptic ulcer disease. Upon assessment, the patient appears to be in distress, picking at the bedsheets and stating, “Who is talking to me? Get out of here!” although no one is noted to be in the room with the patient. Which prescribed medication will the nurse question before administration?

People and nations engaged in trade specialize because of the presence of

A 34-year-old man admitted with a partial small bowel obstruction and a nasogastric (NG) tube in place for decompression. When the patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen, which action should the nurse take first?

A patient has just been transferred to your unit from the emergency department with a chief complaint of intractable nausea and vomiting. A partial small bowel obstruction is suspected. Which information would require the most rapid intervention by the nurse?

At very low tax rates, ________ is much larger than ________.

   Nurses’ Notes Vital Signs Diagnostic Results 0830:Child was brought in by parents for unexplained bruising and red spots on the child’s shoulders, thighs, and back. Parents report child has had a cold for more than 2 months and over-the-counter medications have not helped relieve the cold symptoms. Lung sounds clear. Child moves all extremities well with some swelling noted in knees and elbows. Abdomen soft with active bowel sounds.1000:Parents report child had small nosebleed “a few minutes ago,” and the child reports “my arms and legs hurt all over.” Child’s nosebleed has been resolved with only a small amount of blood noted on tissues. 0830:Temperature 38° C (100.4° F) Heart rate 100/minRespiratory rate 20/min Blood pressure 102/64 mm HgOxygen saturation 98% on room air1000:Temperature 38.3° C (101° F) Heart rate 112/min Respiratory rate 24/minBlood pressure 104/62 mm HgOxygen saturation 97% on room air WBC count 15,000/mm³ (5,000 to 10,000/mm³)Hgb 8 g/dL (10 to 15.5 g/dL)Hct 32% (32% to 44% The nurse is reviewing the assessment findings and diagnostic results. For each assessment finding, specify if the finding is consistent with leukemia (place an L) or sickle cell anemia (place an S) or both (place a B). Each finding may support more than one disease process.    Assessment Finding Leukemia / Sickle Cell Anemia    Bleeding  [BLANK-1]    Bruising  [BLANK-2]    WBC Count  [BLANK-3]    Temperature  [BLANK-4]    Reported pain  [BLANK-5]