A nurse observes reddish-purple spots and areas of purple bruising on a newly admited patient. Which laboratory results support this assessment finding?

INR 0.9

Hematocrit 28%

WBC 4500

Platelets 60000

Answer and Explanation

The Correct Answer is D

Choice A reason: An INR of 0.9 is within the normal range (0.8-1.2) and does not support the presence of bruising or bleeding disorders.

Choice B reason: A hematocrit level of 28% is below the normal range (36%-50% for women, 40%-54% for men), indicating anemia, but it does not directly explain bruising or petechiae.

Choice C reason: A WBC count of 4500 is within the normal range (4500-11000), suggesting that there is no active infection or leukocytosis that would explain the bruising.

Choice D reason: A platelet count of 60000 is below the normal range (150000-450000), which can lead to easy bruising and petechiae, supporting the nurse's observation.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason: Nasogastric suction reduces intestinal distention, which can help alleviate abdominal pressure and pain.

Choice B reason: Eliminating oral intake and gastric suction reduces gastric secretion, decreasing stimulation of the pancreas.

Choice C reason: Monitoring intake and output is important but not a direct treatment for pancreatitis.

Choice D reason: Nasogastric decompression helps alleviate nausea and vomiting, which are common symptoms of pancreatitis.

Choice E reason: Reduction of gastric secretions that stimulate pancreatic enzymes directly addresses the cause of pancreatitis.

A. Recovery position, lateral with the upper leg ﬂexed and forward, and the upper hand across the chest with the back of the hand supporting the cheek. B. Prone position, to encourage maximum rest, thus decreasing respiratory and cardiac rates. C. Sitting up position (45 degrees or greater) to facilitate breathing and decrease venous return. D. Trendelenburg position, to drain blood from leg veins into the heart, i.e., the organic ﬂuid bolus.

Correct Answer is C

Explanation

Choice A reason: The recovery position is not typically recommended for patients with acute pulmonary edema as it does not facilitate optimal breathing.

Choice B reason: The prone position is not generally recommended for acute pulmonary edema as it may not aid in improving oxygenation or breathing.

Choice C reason: The sitting up position, especially at an angle of 45 degrees or greater, is recommended for patients with acute pulmonary edema as it helps to facilitate breathing and decrease venous return to the heart.

Choice D reason: The Trendelenburg position is not recommended for acute pulmonary edema as it can increase the pressure in the chest and worsen breathing difficulties.

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A nurse observes reddish-purple spots and areas of purple bruising on a newly admited patient. Which laboratory results support this assessment finding?

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Naxlex Comprehensive Predictor Exams

A client with acute pancreatitis comes in with severe abdominal pain. The doctor orders NPO and an NG-tube. The nurse knows that NPO status and nasogastric tube patency will help treat pancreatitis by: (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

A recommended position for a patient in acute pulmonary edema is:

Correct Answer is C

Explanation

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