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Janet (pronouns: she/her/hers) is a 64-year-old admitted with shortness of breath and fatigue. Her vital signs: T 97.5 °F (36.4 °C), BP 118/77, P 120, R 20, oxygen saturation 88% on room air. Skin is pale, cool, and dry with normal turgor and capillary refill < 3. Lungs clear in all lobes. Heart is regular, rate and rhythm with no murmur. No edema is present. Hematology - CBC Component Value Reference Range WBC​ 2,500​ 4,500-10,000​ RBC​ 2.8 ​ 4-6​ HEMOGLOBIN​ 9.5 ​ 12-18 g/dL​ HEMATOCRIT​ 24 ​ 38-54 %​ MCV​ 94 ​ 80-98​ MCH​ 28 ​ 27-31​ MCHC​ 33 ​ 32-36​ RDW​ 12.2​ 11.5-14.5​ Hematology - CBC DIFFERENTIAL %​ Value Reference Range NEUTROPHILS​ 40 ​ 50-70​ EOSINOPHILS​ 2​ 0-3​ BASOPHILS​ 3​ 1-3​ LYMPHOCYTES​ 31​ 25-35​ MONOCYTES​ 3​ 2-6​ SEGS​ 50​ 50-65​ BANDS​ 0​ 0-5​ PLATELETS​ 75,000​ 150,000-400,000​ Evaluating Outcomes The nurse has administered two units of PRBCs over 4 hours. ​Which assessment findings indicate interventions were effective, not effective, or the client's condition has not changed? Effective Not Effective Not Changed Pulse rate 98 SpO2 84% on 2 L/min nasal cannula Hemoglobin 9.5 g/dL Hematocrit 24% Temperature 97.5 °F (36.4 °C) SCIENCE HEALTH SCIENCE NURSING

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