The nurse is reviewing labs on a new admit. The patient's ...

[jessicacav]

The nurse is reviewing labs on a new admit. The patient's hemoglobin is 8.0; platelets are 75,000, AST 75. Which nursing action is best?
 
  1. Contact the physician.
  2. Request the labs to be redrawn.
  3. Assess blood pressure.
  4. Determine the client's blood type and Rh.

Question 2

When evaluating the care given a battered woman, the nurse analyzes care plan components to determine which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Compassionate, respectful care was delivered.
  2. The woman has the necessary information to make decisions.
  3. Medical records are deliberately vague.
  4. Psychological care was given in the hospital.
  5. The woman identifies culturally appropriate resources.

[coyin]

Answer to Question 1

1
Rationale 1: This client has HELLP syndrome, a life-threatening condition. Further orders are needed from the physician.
Rationale 2: Redrawing the labs is not the best action.
Rationale 3: The blood pressure is likely to be high, but notifying the physician of this life-threatening set of labs is a higher priority.
Rationale 4: Although blood type and Rh would need to be known after delivery to determine whether the client requires RhoGAM, this is not the highest priority.

Answer to Question 2

1, 2, 5
Explanation: 1. One expected outcome of nursing care is that the woman receives compassionate, respectful, and individualized medical attention.
2. One expected outcome of nursing care is that the woman has the information she needs to make a decision about her future based on thoughtful consideration of alternatives.
5. Two expected outcomes of nursing care are that the woman is able to identify culturally appropriate community resources available to her and develops strategies for keeping herself, her children, and her family as safe as possible.

[jessicacav]

TYSM

[tkempin]

Gracias!