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    RN Comprehensive Predictor 2023 Proctored Exam
    Select All That Apply

    The nurse reviews the entries in the medical record. 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/mm3 (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) Oxygen saturation 100% via 2 L/min nasal cannula Assessment 1800: Physical Exam: General: no distress HEENT: oropharynx clear, mucous membranes moist and pink Respiratory: bilateral breath sounds clear Gl: epigastric tenderness to palpation, no rebound tenderness or guarding Neuro: awake and alert

    Explanation & Rationale

    Blood Pressure: 112/74 mmHg (Previously 76/45 mmHg): The client's blood pressure has stabilized, suggesting improved circulatory volume and perfusion. Heart Rate: 95/min (Previously 121/min): A decrease in heart rate indicates improved hemodynamic stability and a reduced compensatory response to blood loss. Hemoglobin: 12 g/dL (Previously likely lower due to GI bleeding): Hemoglobin has improved, indicating successful correction of anemia, possibly due to blood transfusion. Mucous Membranes: Moist and Pink (Previously Pale): Improved mucosal color and hydration suggest better oxygenation and volume status. General Assessment: No Distress (Previously Diaphoretic, Uncomfortable): The client no longer shows signs of discomfort or distress, indicating symptom relief and better overall condition. Oxygen Saturation: 100% on 2 L/min Nasal Cannula (Previously 98% on Room air): The client is maintaining adequate oxygenation with minimal supplemental oxygen. Epigastric Tenderness Without Guarding or Rebound Tenderness: No worsening of GI symptoms suggests that the treatment plan (transfusion, IV fluids, and PPI therapy) is effective.

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