KEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological Integrity: Physiological Adaptation10.If melena appears, a minimum of what amount of blood has been deposited into the gastrointestinal (GI) tract?
PTS:1DIF:Cognitive Level: KnowledgeREF:339, Clinical CuesOBJ:2 (clinical)TOP:MelenaKEY:Nursing Process Step: AssessmentMSC:NCLEX: Health Promotion and Maintenance11.The nurse is caring for a patient whose complete blood count reports an abnormal amount of “bands,” or immature granulocytes. Based on this finding, which problem does the nurse suspect?
PTS:1DIF:Cognitive Level: ComprehensionREF:332, Clinical CuesOBJ:5 (theory)TOP:Significance of Bands: Bacterial InfectionKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity: Physiological Adaptation12.The nurse is caring for an older adult patient who is confused and irritable. The nurse reviews the patient’s history and notes that it is negative for dementia. Which potential underlying problem should the nurse suspect?
PTS:1DIF:Cognitive Level: ApplicationREF:336, Older Adult Care PointsOBJ:5 (theory)TOP:Hypoxia versus Dementia