A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L). hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client? Reference Range.

Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]

Hematocrit (Hct) [42% to 52% (0.42 to 0.52 volume fraction)]

9000

Broiled white fish with a baked sweet potato.

Cheese pasta and a lettuce and tomato salad.

Grilled shrimp and seasoned rice with asparagus salad.

Beef steak with steamed broccoli and orange slices.

Answer and Explanation

The Correct Answer is D

D. Beef steak is an excellent source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant-based foods. Steamed broccoli is also a good source of non-heme iron and vitamin C, which enhances iron absorption. Vitamin C-rich foods, such as orange slices, can help increase the absorption of iron from the meal.
A. White fish, such as cod or haddock, is also a healthy protein choice, but it does not provide the iron content needed to address the client's iron deficiency anemia and chronic fatigue effectively
B. Cheese pasta primarily provides carbohydrates and protein but lacks significant amounts of iron. Lettuce and tomato salad is low in calories and rich in vitamins and minerals, but it does not contribute to increasing dietary iron intake.
C. Seasoned rice and asparagus salad are nutritious choices, but they do not contain substantial amounts of iron.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Neutrophils are a type of white blood cell involved in the body's immune response, particularly in fighting bacterial infections. In the context of burns, especially full-thickness burns with purulent drainage, an elevated neutrophil count (neutrophilia) may indicate an ongoing infection. Burn wounds are susceptible to bacterial colonization and infection due to the loss of the skin's protective barrier.
B. Blood pH level refers to the acidity or alkalinity of the blood. While maintaining normal blood pH is crucial for overall health, changes in blood pH are not typically directly related to the presence of purulent drainage in burn wounds.
C. Serum albumin is a protein found in the blood that plays a role in maintaining osmotic pressure and transporting various substances, including drugs and hormones. Low serum albumin levels (hypoalbuminemia) can occur in individuals with severe burns due to increased protein loss through damaged skin and decreased protein synthesis. However, it is not directly related to evaluating purulent drainage from burn wounds.
D. Platelet count: Platelets are blood cells involved in clotting, which is essential for wound healing. While thrombocytopenia (low platelet count) can occur in individuals with severe burns,it is not directly related to assessing infection in burn wounds.

A. Determine which prescription will have the quickest onset of action. B. Compare the client's pain scale rating with the prescribed dosing. C. Document the client's report of pain in the electronic medical record. D. Ask the client to choose which medication is needed for the pain.

Correct Answer is B

Explanation

B. Comparing the client's pain scale rating with the prescribed dosing ensures that the nurse selects the appropriate medication and dosage based on the severity of the client's pain. This action helps ensure safe and effective pain management by matching the intensity of the client's pain with the appropriate analgesic medication and dose.
A. Although this may be relevant in some situations, particularly if the client's pain requires rapid relief, the nurse should prioritize selecting the medication and dose based on the severity of the client's pain rather than solely on the onset of action.
C. The process does not address the immediate need to select the appropriate analgesic medication for the client's pain.
D. This may not be appropriate, especially if the client is in pain or unable to make an informed decision about which medication to choose.

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Naxlex Comprehensive Predictor Exams

While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the healthcare provider, the nurse should evaluate which laboratory value?

Correct Answer is A

Explanation

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is B

Explanation

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