Chapter 32 Stem
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| The nurse assesses the abnormal blood value for a young women as: | show 🗑
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| show | 3 x's the Hgb. Women 37-47/Men 40-54
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| The nurse calls to the attention of the charge nurse the PT/INR of a patient on Coumadin. The value that needs attention is: | show 🗑
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| The nurse caring for a patient receiving a transfusion assesses that the patient is wheezing and is complaining of back pain. After the nurse stops the transfusion, the nurse should: | show 🗑
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| The patient receiving Epogen asks how soon there will be an increase in his red blood cell count. The nurse’s best reply is that the initial increase in red cells should be seen in: | show 🗑
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| The nurse explains that sickle cell crisis occurs when the sickle-shaped red blood cells: | show 🗑
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| The information that the nurse recognizes as pertinent patient self-care for a patient with sickle cell anemia is: | show 🗑
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| show | Monthly injections of b12 for rest of life. Might have symptoms of tired/fatigue so plan activities accordingly. Precaution of easy bruising
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| The rationale for administering injections of vitamin B12 to patients with pernicious anemia is that: | show 🗑
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| show | Liver, oyster, red meats, fish, dried fruits, legumes (dried beans/peas), dark green veges, whole grains, cereals that are fortified
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| Based on the nursing assessment, an appropriate nursing diagnosis for a patient with hemophilia would be: | show 🗑
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| A child with sickle cell anemia is placed on the drug hydroxyurea. The nurse explains that this drug will: | show 🗑
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| show | Hemolytic anemia
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| show | 8% of African americans carry the gene, so one of the parents must be a carrier
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| show | Will raise 5,000-10,000. New count would be 25,000-30,000
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| When the nurse prepares to give ferrous sulfate (Feosol) to a home health patient, the nurse will: | show 🗑
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| A 35-year-old man is seen in an urgent care clinic. He presents with symptoms of polycythemia vera. The laboratory value that would confirm the possible diagnosis is an extremely: | show 🗑
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| A 52-year-old man has a diagnosis of aplastic anemia. The information that the nurse recognizes as being pertinent to this diagnosis is that the man: | show 🗑
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| show | Have you been diagnosed with a blood disorder? Do you haev blood in stool/urine? Do your gums bleed when you brush? etc....
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| show | She can give it to her son, b/c it is on the x chromosome (male chromosome)
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| show | Petichiae, purpura, epitaxis, gingival bleeding, decrease in platelets
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| show | Risk for injury related to bleeding
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| The nurse assessing a patient 20 minutes after a bone marrow biopsy is concerned when the patient says: | show 🗑
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| show | DIC
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| show | Take the 2nd unit of blood back to bank, only 1 unit can run at a time.
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| The nurse notes the past medical history information that is significant to potential bleeding problems as (select all that apply): | show 🗑
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| The nurse giving iron dextran IM will use the Z-track method because this method (select all that apply): | show 🗑
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| show | No plasma in fresh frozen plasma
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