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Reviewing laboratory test results for low hemoglobin is important for monitoring anemia, which can be a side effect of radiation therapy. However, it is not the most immediate action to address the specific side effects of radiation therapy to the lung, such as xerostomia (dry mouth) and skin reactions.

Assessing the skin for erythema is important as radiation therapy can cause skin reactions, including redness and irritation. However, this action does not directly address the management of xerostomia, which is a common side effect of radiation therapy to the head and neck areas.

Monitoring the client for signs of fatigue is essential as fatigue is a common side effect of radiation therapy. However, this action does not specifically address the management of xerostomia, which requires targeted oral care.

Decreased temperature is not typically an immediate complication following a thoracentesis. It may indicate an infection, but this would develop over time rather than immediately after the procedure.

Serosanguineous drainage from the puncture site is expected after a thoracentesis and does not indicate a complication that requires immediate attention.

Chest pain can be a sign of a complication such as a pneumothorax or infection. However, shortness of breath is a more immediate and severe symptom that requires urgent attention.

Septic shock results from a systemic inflammatory response to infection, leading to vasodilation and maldistribution of blood flow. There is no indication of infection in this scenario.

Neurogenic shock results from a loss of sympathetic tone, leading to vasodilation and relative hypovolemia. It is often associated with spinal cord or severe head injury, which is not indicated in this scenario.

Obstructive shock occurs when there is an obstruction to blood flow within the cardiovascular system, such as a pulmonary embolism or cardiac tamponade. There is no evidence of such an obstruction in this scenario.

8 oz black tea is not recommended for clients with iron deficiency anemia as it contains tannins, which can inhibit iron absorption.

8 oz whole milk is not a good source of iron and can interfere with the absorption of iron from other foods.

15 oz raisins contain some iron but are not as rich in iron as black beans. Additionally, the high sugar content in raisins may not be ideal for all clients.

A platelet count of 155,000/mm³ is within the lower end of the normal range (150,000- 450,000/mm³) and does not require immediate reporting.

An RBC count of 5 million/mm³ is within the normal range for females (4.2-5.4 million/mm³) and does not require immediate reporting.

A hemoglobin level of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require immediate reporting.

Keeping the child home for 1 week is not necessary unless there are specific complications or instructions from the healthcare provider.

Assisting the child to take a tub bath for the first 3 days is not recommended as it may increase the risk of infection at the catheter insertion site.

Offering the child clear liquids for the first 24 hours is not necessary unless there are specific dietary restrictions from the healthcare provider.

Progressive increase in platelet production is not a characteristic of DIC. DIC typically involves a decrease in platelet count due to consumption.

Immediate sodium and fluid retention are not characteristic findings of DIC.

Increased clotting factors are not seen in DIC; instead, there is a consumption of clotting factors leading to their decrease.

Asking appropriate questions about suctioning indicates interest and understanding but does not demonstrate the ability to perform the procedure.

Attending a class about tracheostomy care is beneficial but does not demonstrate the ability to perform the procedure independently.

Verbalizing all steps in the procedure indicates knowledge but does not demonstrate the practical ability to perform the procedure.

Including fluoridated water in the toddler’s diet does not prevent iron deficiency anemia.

Administering fat-soluble vitamins daily is not a method of preventing iron deficiency anemia.

Limiting intake of high-protein foods is not related to preventing iron deficiency anemia.

Instructing to slowly exhale with pursed lips is a breathing technique but not the first action to take before the procedure.

Assessing pulse and respirations is important but not the first action to take before the procedure.

Assessing characteristics of her sputum is important but not the first action to take before the procedure.