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    ATI LPN Comprehensive Predictor 2023 Proctored Exam
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    The nurse is collecting data from the client following the transfusion of 2 units of packed RBCs. Exhibits Click to highlight the findings that indicate improvement in the client's condition. To deselect a finding, click on the finding again. Laboratory Results: 1800: WBC count 6,700/mm (5,000 to 10,000/mm3) Hemoglobin 12 g/dL (14 to 18 g/dL) Hematocrit 36% (40% to 52%) Vital Signs: 1800: Blood pressure 112/74 mm Hg Heart rate 95/min Respiratory rate 18/min Temperature 37.5° C (99.5° F) O2 saturation 100% 2 L/min O2 via nasal cannula Assessment: 1800: Physical Exam General: no distress Head, ears, eyes, nose, and throat (HEENT): oropharynx clear, mucous membranes moist and pink Respiratory: bilateral breath sounds clear Gastrointestinal: epigastric tenderness to palpation, no rebound tenderness or guarding Neurologic: awake and alert

    Explanation & Rationale

    WBC count 6,700/mm³ is unchanged from previous readings, remaining within normal limits, indicating no new or worsening infection or inflammatory response. Hemoglobin 12 g/dL represents a significant increase from the previous value of 7.8 g/dL, demonstrating successful red blood cell transfusion and improvement in oxygen-carrying capacity. Hematocrit 36% is also markedly improved from 24%, further confirming correction of anemia following transfusion. Blood pressure 112/74 mm Hg has increased from a low of 76/45 mm Hg, indicating improved circulatory status and perfusion following fluid resuscitation and transfusion. Heart rate 95/min is a decrease from previous tachycardic values (121/min), suggesting stabilization of hemodynamics and resolution of compensatory response to anemia and hypotension. Oxygen saturation 100% on 2 L/min O₂ via nasal cannula confirms adequate oxygenation, demonstrating improved hemoglobin levels and effective oxygen delivery. Respiratory: bilateral breath sounds clear confirms stable respiratory function, showing no complications such as fluid overload or transfusion-related lung injury.

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