Nursing Questions
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A nurse is preparing to administer epoetin alfa to an outpatient client with stage 4 chronic kidney disease and anemia of chronic disease. Prior to administering the medication, which assessment finding requires the nurse to withhold the dose and notify the healthcare provider?
Clinical Practice Question: A nurse is preparing to administer epoetin alfa to an outpatient client with stage 4 chronic kidney…
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A nurse is developing a plan of care for a hospitalized client newly diagnosed with severe aplastic anemia whose Absolute Neutrophil Count (ANC) is 420/µL and platelet count is 18,000/µL. Which nursing intervention is essential to include in the plan of care?
Clinical Practice Question: A nurse is developing a plan of care for a hospitalized client newly diagnosed with severe aplastic…
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A 21-year-old client with sickle cell disease is admitted to the medical unit in acute vaso-occlusive crisis with severe bilateral lower extremity pain (rated 10/10). Which nursing action is the highest clinical priority?
Clinical Practice Question: A 21-year-old client with sickle cell disease is admitted to the medical unit in acute vaso-occlusive crisis…
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A 68-year-old client with a history of total gastrectomy presents with paresthesias in the bilateral lower extremities, an unsteady gait, and a sore, smooth, beefy red tongue. The laboratory reports an MCV of 114 fL. The nurse identifies that this client requires which definitive lifelong treatment?
Clinical Practice Question: A 68-year-old client with a history of total gastrectomy presents with paresthesias in the bilateral lower extremities,…
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A nurse is providing discharge medication teaching to a client prescribed oral ferrous sulfate for iron deficiency anemia. Which statement by the client indicates an accurate understanding of the instructions?
Clinical Practice Question: A nurse is providing discharge medication teaching to a client prescribed oral ferrous sulfate for iron deficiency…
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A nurse reviews the complete blood count (CBC) of a 34-year-old female presenting with severe fatigue, pallor, and pica (craving ice). The results show: Hemoglobin 8.2 g/dL, Hematocrit 26%, Mean Corpuscular Volume (MCV) 68 fL, and Mean Corpuscular Hemoglobin (MCH) 22 pg. Which additional laboratory test is the most definitive next step to confirm the underlying etiology?
Clinical Practice Question: A nurse reviews the complete blood count (CBC) of a 34-year-old female presenting with severe fatigue, pallor,…
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When reviewing a Complete Blood Count with differential for a client with suspected sepsis, the nurse notes a WBC of 16,500/µL with 18% band neutrophils (stabs). What does this “Left Shift” indicate to the nurse?
Clinical Practice Question: When reviewing a Complete Blood Count with differential for a client with suspected sepsis, the nurse notes…
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A nurse is administering a unit of Packed Red Blood Cells (PRBCs) to a client with symptomatic anemia (Hemoglobin 6.8 g/dL). Which IV solution must the nurse use to prime the blood tubing?
Clinical Practice Question: A nurse is administering a unit of Packed Red Blood Cells (PRBCs) to a client with symptomatic…
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A client receiving chemotherapy has a platelet count of 28,000/µL. Which nursing intervention is a priority in the client’s plan of care?
Clinical Practice Question: A client receiving chemotherapy has a platelet count of 28,000/µL. Which nursing intervention is a priority in…
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A nurse reviews the laboratory results of a client admitted with severe dehydration: RBC count is 5.8 × 10⁶/µL, Hemoglobin is 17.5 g/dL, and Hematocrit is 54%. Which clinical interpretation should the nurse make?
Clinical Practice Question: A nurse reviews the laboratory results of a client admitted with severe dehydration: RBC count is 5.8…
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