Page 332 - Saunders Comprehensive Review For NCLEX-RN

Integrated Process: Nursing Process—Implementation
Content Area: Skills: Vital Signs
Health Problem: Adult Health: Neurological: Pain
Priority Concepts: Clinical Judgment; Pain
Reference: Lewis et al. (2017), pp. 114-115, 152.

76. Answer: 3

Rationale: The normal hemoglobin level for an adult female client is 12 to 16 g/dL
(120 to 160 mmol/L). Iron deficiency anemia can result in lower hemoglobin levels.
Dehydration may increase the hemoglobin level by hemoconcentration. Heart failure
and chronic obstructive pulmonary disease may increase the hemoglobin level as a
result of the body’s need for more oxygen-carrying capacity.
Test-Taking Strategy: Note the strategic words, most likely. Evaluate each of the
conditions in the options in terms of their pathophysiology and whether each is
likely to raise or lower the hemoglobin level. Also, note the relationship between
hemoglobin level in the question and the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Foundations of Care: Laboratory Tests
Health Problem: Adult Health: Hematological: Anemias
Priority Concepts: Clinical Judgment; Gas Exchange
Reference: Lewis et al. (2017), p. 600.

77. Answer: 4

3
Rationale: A normal platelet count ranges from 150,000 to 400,000 mm (150 to 400
9
× 10 /L). The nurse should place the report containing the normal laboratory value in
3
9
the client’s medical record. A platelet count of 300,000 mm (300 × 10 /L) is not an
elevated count. The count also is not low; therefore, bleeding precautions are not
needed.
3
Test-Taking Strategy: Focus on the subject, a platelet count of 300,000 mm (300 ×
9
10 /L). Remember that options that are comparable or alike are not likely to be
correct. With this in mind, eliminate options indicating to report the abnormally low
count and placing the client on bleeding precautions first. From the remaining
options, recalling the normal range for this laboratory test will direct you to the
correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Foundations of Care: Laboratory Tests
Health Problem: Adult Health: Gastrointestinal: Upper GI Disorders
Priority Concepts: Clinical Judgment; Clotting
Reference: Lewis et al. (2017), p. 601.

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