A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?.

Cellular hypoxia.

Prolonged bleeding.

Fluid retention.

Impaired immunity.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Hemoglobin of 10 g/dL and hematocrit of 30% are lower than the normal ranges (Hemoglobin: 13.5-17.5 g/dL for men, 12.0-15.5 g/dL for women; Hematocrit: 38.8-50.0% for men, 34.9-44.5% for women). This can lead to cellular hypoxia as there are fewer red blood cells to carry oxygen.
Choice B rationale:
These lab values do not directly indicate a risk for prolonged bleeding.
Choice C rationale:
These lab values do not directly indicate a risk for fluid retention.
Choice D rationale:
While severe anemia can affect the immune response, these values do not directly indicate impaired immunity.

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Correct Answer is C

Explanation

Choice A rationale:
Obesity is a modifiable risk factor for stroke, as it can be controlled through diet and exercise.
Choice B rationale:
History of hypertension is also a modifiable risk factor, as it can be managed with medication and lifestyle changes.
Choice C rationale:
Genetics is a nonmodifiable risk factor for stroke, as individuals cannot change their genetic makeup.
Choice D rationale:
History of smoking is a modifiable risk factor, as individuals can choose to quit smoking.

A. Behavioral indicators and effect. B. Scheduled treatments and client illness. C. Pulse and blood pressure findings. D. A self-report pain rating scale.

Correct Answer is A

Explanation

Choice A rationale:
Behavioral indicators are the most reliable way to assess pain in a client with expressive aphasia as they may not be able to verbally communicate their pain.
Choice B rationale:
Scheduled treatments and client illness do not directly indicate the client’s pain level.
Choice C rationale:
Pulse and blood pressure findings can be influenced by many factors and are not the most reliable indicators of pain.
Choice D rationale:
A self-report pain rating scale would not be effective for a client with expressive aphasia as they may have difficulty understanding and using the scale.

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A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?

Correct Answer is A

Explanation

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