BSN HESI 266 EXAM V2 WITH CORRECT GOOD 80 QUESTIONS WITH VERRIFIED ANSWERS GRADED A+ While caring for a client with a full thickness burn covering 40% of the body, the nurse observes purulent drainage at the wound Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values? a. White blood cell (WBC) count b. Hematocrit. c. Platelet count. d. Blood pH level - ✔✔ANSW✔✔a. White blood cell (WBC) count The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review? a. Red blood cell count. b. Platelet count. c. White blood cell count. d. Hemoglobin levels. - ✔✔ANSW✔✔b. Platelet count. A client arrives to the medical -surgical unit 4 hours after a transurethral resection of the prostate. A triple -lumen catheter for the continuous bladder irrigation with normal saline is infused and the nurse observes dark -pink tinged outflow with blood clots in the tubing collection bag. Which action should the nurse take? a. Monitoring catheter drainage (pic one says this) b. irrigation the catheter manually. c. Decreasing the flow rate. d. Discounting infusing solution. - ✔✔ANSW✔✔a. Monitoring catheter drainage (pic one says this) The nurse is preparing a client for surgery who was admitted to the emergency center following a motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately from the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin sodium 5,000 units subcutaneously daily. What is the priority nursing action? a. Notify the healthcare provider of the client's medication history. b. Observe the heparin injections sites for signs of bruising. c. Have the client sign the surgical and transfusion permits. d. Ensure that the potential for bleeding is explained to the client - ✔✔ANSW✔✔a. Notify the healthcare provider of the client's medication history.
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