HESI RN Exit Exam IV Proctored Exam
The nurse is caring for four clients: Client A, who has emphysema and whose oxygen saturation is 94% on room air; Client B, with a postoperative hemoglobin of 8.2 mg/dL (82 g/L); Client C, newly admitted with a potassium level of 3.8 mEq/L (3.8 mmol/L); Client D, scheduled for an appendectomy who has a white blood cell (WBC) count of 14,000 mm3 (14 x 109/L). Which intervention should the nurse implement?Reference Range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] White Blood Cell [5,000 to 10,000/mm3 (5 to 10 x 109/L)]
Explanation & Rationale
Rationale A. Client A's oxygen saturation is acceptable for someone with emphysema. B. This is because Client B's postoperative hemoglobin level is 8.2 mg/dL, which is significantly lower than the normal reference range of 14 to 18 g/dL. This indicates that Client B is anemic and may require a blood transfusion to increase the hemoglobin level. C. Client C's potassium level is within the normal range D. Client D's WBC count is elevated, moving them into isolation is not indicated solely based on an elevated WBC count.
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