A nurse is caring for a female client who had a stroke. Which of the following findings should indicate to the nurse that the client has an increased risk of developing skin breakdown?
Hgb 18 g/dL (12 to 16 g/dl)
WBC 12.000/mm3 (5,000 to 10,000/mm3)
25-Hydroxyvitamin D 92 ng/ml. (25 to 80 ng/mL)
Albumin 3.1 g/dL (3.5 to 5 g/dL)
The Correct Answer is D
Albumin is a protein that plays a crucial role in maintaining skin health. Low albumin levels (hypoalbuminemia) can lead to poor wound healing and skin vulnerability.
Hemoglobin level, white cell count and 25-hydroxyvitamin have no direct role in skin breakdown.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Thawed FFP should be administered promptly. It can be stored at 1 to 6 degrees Celsius for up to 24 hours if not used immediately. However, it is best to administer it as soon as possible after thawing.
A. FFP should be administered through a larger-bore intravenous catheter (typically 18-20 gauge) to prevent clotting or clogging of the line.
B. The recommended infusion time for FFP is approximately 30 minutes to 1 hour. Rapid infusion helps maintain clotting factor activity.
C. FFP is specifically used to manage bleeding due to coagulopathy. If the client is actively bleeding, timely FFP administration is crucial.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}
Explanation
Alterations in level of consciousness is an indicator that the client is in septic shock due to systemic spread of the urinary tract infection
Hematocrit level is normal. Changes in hematocrit levels are not expected in UTI unless the client has hematuria.
A butterfly rash is commonly seen in autoimmune conditions like lupus.
The decrease in oxygen requirements indicates improvement in level of distress and hence improving sepsis
A drop in the systolic blood pressure may indicate that the client is going into septic shock
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