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    HESI RN Exit VI 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); and 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

    A. Client B’s hemoglobin is significantly low, indicating the need for a blood transfusion to improve oxygen-carrying capacity.B. Client C’s potassium level is within normal limits, so there is no immediate need to add a banana.C. Client A’s oxygen saturation is acceptable, so increasing the oxygen is unnecessary.D. Client D’s elevated WBC count may indicate infection, but moving them to isolation before surgery is not required based solely on this finding.

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