The nurse reviews client assessment findings and stat labora…
The nurse reviews client assessment findings and stat laboratory results to prioritize the health needs for a 47-year-old client who reports shortness of breath and chest pain that started around 0430. The client has a history of sickle cell anemia and chronic kidney disease stage 2. Laboratory Result Reference Range Hematocrit (HCT) 22%(0.22 volume fraction) 42%–52%(0.42–0.52 volume fraction) White blood cell (WBC) count 12,000/mm3(12 × 109/L) 5000–10,000/mm3(5–10 × 109/L) Blood urea nitrogen (BUN) 102 mg/dL(36.42 mmol/L) 10–20 mg/dL(3.6–7.1 mmol/L) Creatinine (Cr) 2.6 mg/dL(229.89 mcmol/L) 0.6–1.2 mg/dL(53.05–106.1 mcmol/L) Sodium (Na+) 144 mEq/L(144 mmol/L) 136–145 mEq/L(136–145 mmol/L) Potassium (K+) 5.1 mEq/L(5.1 mmol/L) 3.5–5.0 mEq/L(3.5–5.0 mmol/L) D-Dimer 1035 ng/mL(1.035 mg/L FEU)
Read DetailsThe nurse is caring for a 47-year-old client who has been ad…
The nurse is caring for a 47-year-old client who has been admitted to the cardiac telemetry unit for management of sickle cell crisis. For each client condition, select potential nursing actions that are appropriate for this client. More than 1 action may be selected for each client condition. Client Condition Potential Nursing Actions Acute pain [NursingAction1][NursingAction2] ○ Administer normal saline IV○ Keep the client’s room cool and dry○ Continue supplemental oxygen○ Administer pain medication on a PRN schedule Potential for infection[NurseAction3][NurseAction4][NurseAction5] ○ Provide frequent oral care○ Assess vital signs every 4 hours○ Monitor daily CBC with differential WBC count○ Implement Contact Precautions
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