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concept in nursing 2
anemis
Question | Answer |
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A patient undergoing radiation therapy for breast cancer reports feeling fatigued during normal daily activities. The nurse indicates that the patient may be at risk for anemia due to which physiological effect of cancer treatment? | Decreased number of red blood cell precursors |
A health care provider tells the patient that she has anemia because her red blood cells are being destroyed faster than they can be made. The patient asks the nurse for more information on the cause of her condition. | -- |
The nurse provides information to the patient on which type of anemia? | Hemolytic anemia |
A patient is diagnosed with iron deficiency anemia. Which laboratory values would the nurse expect to see in the patient’s electronic health record? | -Decreased MCV level -Increased TIBC Level -Decreased serum iron level |
A patient is diagnosed with anemia related to iron deficiency. The health care provider orders parenteral iron supplements. When demonstrating the medication administration to the patient, which statement should be included? | “Be sure to pull the skin taut before injecting the needle and medication.” |
A patient is diagnosed with iron deficiency anemia and is prescribed oral iron replacement therapy. Several weeks into the therapy the patient’s iron levels are not increasing. | -- |
Which questions should the nurse ask the patient to ensure the oral supplements are being taken in a way that maximizes absorption? | -“Are you taking your iron before meals?" -"Are you pairing your iron with a vitamin C supplement?” |
A patient with a B12 deficiency asks the nurse how long B12 injections must be taken. Which is the best response by the nurse? | “You will need to take injections for the rest of your life.” |
A patient reports headaches and fatigue related to anemia caused by chronic blood loss that interfere with the ability to prepare meals and perform weekly chores. Which nursing interventions are appropriate to ensure the goals for this patient are met? | -Help the patient to ambulate in order to minimize energy output -Provide guidance on modifying activities to build tolerance for activities of daily living |
Which statement by a patient with iron deficiency anemia would prompt the nurse to provide further patient education? | “I will cluster my activities together in the morning after a good night’s sleep.” |
A patient with anemia is experiencing fatigue. Prioritize the nursing interventions from highest to lowest in the order the nurse should implement them. | 1) Monitor cardiorespiratory response to activity 2) Assist with activities of daily living (ADLs) 3) Encourage alternate rest and activity periods 4) Instruct patient and caregiver to recognize signs and symptoms of fatigue |