RN Comprehensive Online Practice 2019 B with NGN | Nurselytic

Questions 179

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RN Comprehensive Online Practice 2019 B with NGN Questions

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Question 1 of 5

A nurse is caring for a client who is in labor and has a diagnosis of sickle cell anemia. The client's laboratory results indicate a hemoglobin level of 9 g/dL. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Administer oxygen via nasal cannula at 2 L/min. In sickle cell anemia, there is a decreased oxygen-carrying capacity due to abnormal hemoglobin. A hemoglobin level of 9 g/dL indicates anemia, which can lead to tissue hypoxia. Administering oxygen helps improve oxygen saturation, which is crucial in preventing sickling of red blood cells and tissue damage. Monitoring for signs of infection (
B) is important but not the priority in this case. Encouraging ambulation (
C) may be beneficial for circulation, but addressing the oxygenation issue is more critical. Providing a high-protein diet (
D) may be helpful in managing anemia in the long term but does not address the immediate need for oxygenation.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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