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A student nurse supervised by their preceptor is caring for a patient who is currently experiencing epistaxis.  Which of the following actions carried out by the student would require the preceptor to intervene?

You are seeing a 48-year-old woman who is being evaluated for fatigue and exercise intolerance.  You review her CBC results and suspect which underlying blood disorder? Result Reference Range WBC 4.5 k/mcL 4.0-10.0 k/mcL RBC 3.4 million cells/mcL 4.0-5.4 million/mcL (female) 4.5-6.1 million/mcL (male) Hemoglobin 10.2 g/dL 11.5-15.5 g/dL (female) 13-17 g/dL (male) Hematocrit 30.6% 36-48% (female) 40-55% (male) MCV 62 fL 80-100 fL MCH 18 pg 27-31 pg

Jim is a 45-year-old male being evaluated for a routine physical.  His past medical history includes 18 pack year history of tobacco use and hypertension.  CBC results are as follows.  What underlying blood disorder do you suspect?   Result Reference Range WBC 9.4 k/mcL 4.0-10.0 k/mcL RBC 8.2 million cells/mcL 4.0-5.4 million/mcL (female) 4.5-6.1 million/mcL (male) Hemoglobin 23.6 g/dL 11.5-15.5 g/dL (female) 13-17 g/dL (male) Hematocrit 68.4% 36-48% (female) 40-55% (male) MCV 94 fL 80-100 fL MCH 28 pg 27-31 pg

Spontaneous, and potentially fata, bleeding of the CNS or GI tract occur when platelet count is less than _________________________ /mm^3.

What is the role of the platelet in homeostasis?  

The nurse is providing discharge instruction to a patient with chronic sinusitis.  Which of the following instructions stated by the patient indicates a need for further teaching?

Categorize the function to the appropriate organ system.

A 12 year-old patient with asthma has been prescribed ipratropium for the relief of acute bronchospasm.  The nurse is teaching the patient about asthma medications and mentions their potential side effects and adverse effects.  Which of the following are side/adverse effects of ipratropium?

A patient with asthma has been ordered methylprednisolone 60 mg once IM x one dose now.  The strength of medication you have is 40 mg/mL.  How many mL of medication should the nurse administer?  Round to the nearest tenth.  mL

A nurse is assessing a patient admitted with cough, dyspnea, and chest tightness after exposure to a known asthma trigger.  Which assessment findings would alert the nurse to call the healthcare provider immediately?