Hematology

The nurse is caring for a male client who has a diagnosis of heart failure. Today's laboratory results show a serum potassium of 3.2 mEq/L (3,2 mmol/L). For what complications should the nurse be aware, related to the potassium level?

Cardiac dysrhythmias

A nurse is caring for a client in a long-term care facility. The nurse is reviewing the laboratory data for this client. The nurse should notify the primary care provider if which laboratory result is observed?

Hematocrit 35%

A client recently received 2 units of packed red blood cells. Which laboratory result below demonstrates that the blood transfusion was successful?

Hemoglobin level 15 g/dL (150 g/L)

Which measure would the nurse implement for prevention of deep vein thrombosis (DVT) in a postoperative client?

Place graduated compression stockings on the client.

A 45-year-old woman is admitted after undergoing a hysterectomy. She has been immobile for 2 days. She has a 20-year history of smoking. She also takes oral estrogen to manage her hot flashes. As a nurse assesses the client, she notices that the client's left leg is dark purple and measures 2 inches (5 cm) larger than her right leg. What is the client most at risk for?

Pulmonary embolism

When educating a client about foods that affect fluid balance, which methods should the nurse share to help the client reduce sodium and potassium intake?

Teach the client to read food labels and identify foods high in sodium and potassium.

A nurse is providing care to a client who is confused. The nurse is reviewing the client's laboratory test results. Which finding would the nurse identify as a possible contributing factor to the client's confusion?

Total serum calcium level 14.2 mg/dL

The nurse is performing a preoperative screening of laboratory work prior to a client's surgery in the morning. What test results should be immediately discussed with the surgeon and anesthesia care provider? Select all that apply.

a hemoglobin of 7.2 gm/dL a white blood cell count of 18,000 a sodium level of 128 mEq/L

A 35-year-old single woman was admitted to the unit status post a deep vein thrombosis (DVT). She is on a heparin drip and transitioning to enoxaparin sodium therapy. As a nurse prepares the client education, the nurse remembers that it is important to teach the client that what does not contribute to DVT formation?

alcohol use

A nurse is reviewing the dietary intake of a client prescribed a potassium-sparing diuretic. The client tells the nurse that he had a banana, yogurt, and bran cereal for breakfast and a turkey sandwich with a glass of milk for lunch. The intake of which food would be a cause for concern?

banana

A client has been found to be deficient in vitamin K. For what complication will the nurse closely assess, because it is related to this deficiency?

bleeding tendencies

Potassium is needed for neural, muscle, and:

cardiac function

A client's most recent blood work indicates a K+ level of 7.2 mEq/L (7.2 mmol/L), a finding that constitutes hyperkalemia. For what signs and symptoms should the nurse vigilantly monitor?

cardiac irregularities

Upon evaluation of a client's medical history, the nurse recognizes that which condition may lead to an inadequate supply of oxygen to the tissues of the body?

chronic anemia

A client is taking a diuretic such as furosemide. When implementing client education, what information should be included?

decreased potassium levels

The nurse reviews the laboratory test results of a client and notes that the client's potassium level is elevated. What would the nurse expect to find when assessing the client's gastrointestinal system?

diarrhea

A client with diabetes mellitus is experiencing acute stress. The nurse identifies that the client will be secreting excess levels of cortisol. What should the nurse monitor the client for related to the increased levels of cortisol?

elevated glucose levels

The health care provider is concerned that the client has hypokalemia. During the physical examination, which question should the nurse ask the client?

have you been experiencing muscle weakness or leg cramps?

An older adult client is visibly pale with a respiratory rate of 30 breaths per minute. Upon questioning, the client states to the nurse, "I can't seem to catch my breath." The nurse has responded by repositioning the client and measuring the client's oxygen saturation using pulse oximetry, yielding a reading of 90%. The nurse should interpret this oxygen saturation reading in light of the client's:

hemoglobin level

During an assessment of an older adult client, the nurse notes an increase in pulse and respiration rates, and notes that the client has warm skin. The nurse also notes a decrease in the client's blood pressure. Which medical diagnosis may be responsible?

hypovolemia

A plan of care for a client with a low potassium level includes providing information about the effect of medications and about dietary intake of foods high in potassium. How would a nurse measure achievement of an outcome for this plan?

laboratory data

To determine the quality of oxygenation, the nurse performs the physical assessment, the arterial blood gas test, and pulse oximetry. What is the purpose of the pulse oximetry test?

monitor the amount of oxygen saturation in the blood

An older adult is prescribed spironolactone. The nurse would expect to monitor which laboratory test result closely?

serum potassium

The nurse is caring for a client on a telemetry unit following a myocardial infarction. The client has undergone numerous medication changes since the event. Which food should be avoided when a client is taking warfarin sodium following a myocardial infarction?

spinach

The nurse is caring for a client who is on warfarin therapy. Which teaching will the nurse provide?

use an electric razor for safety purposes

A client is prescribed warfarin, an anticoagulant. When educating this client about potential diet and drug interactions, the nurse would caution the client about foods containing which nutrient?

vitamin k