quiz 2

Polycythemia is frequently associated with chronic obstructive pulmonary disease (COPD). Which should the nurse monitor for when assessing for this complication?

ELEVATED HEMOGLOBIN The body attempts to compensate for decreased oxygen to tissues by increasing the number of blood cells, the oxygen-carrying component of the blood.

The nurse is assessing a patient with leukemia who is undergoing chemotherapy. Which side effects does the nurse anticipate? -Increase temperature -flushed skin -tach cardia -epistaxis

epistaxis

While receiving a blood transfusion, a client develops acute dyspnea, generalized urticaria, a heart rate of 128, and blood pressure of 70/38. What type of reaction does the nurse conclude this patient is experiencing? -Anaphylactic -Panic -Hemolytic -Pyrogenic

HEMOLYTIC

A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome?

Glucose level

Which of the following statements made by a client with iron-deficiency anemia indicates the need for further teaching?

"I should stop taking the medicine if my stools turn black".

the nurse is completing an assessment on a couple seeking genetic counseling for sickle cell anemia. Both perspective parents carry sickle cell traits the nurse recognizes that the chances of the child developing the disease is? 25% 50% 100% 75%

25%

What intervention should the nurse implement when caring for a client with Syndrome of Inappropriate Antidiuretic Hormone? Select all that apply.

A. monitoring for and reporting neurological changes. B. instituting fall risk precautions. D. providing frequent oral care.

A nurse is caring for a client with Addison disease. Which dietary instruction should the nurse teach the client to follow? 1. Add extra salt to food 2. Consume high-potassium foods 3. Omit protein foods at each meal 4. Restrict the daily intake of fluids to 1 L

Add that extra salt girlllll

The nurse is caring for some clients with chronic anemia who are on blood transfusion therapy. The nurse notices that one of the clients requires immediate treatment. Which client is the nurse addressing in this situation? Client with itching Client with flushing Client with pruritus Client with wheezing

Client with wheezing Wheezing indicates anaphylactic and allergic reactions in the client who is on blood transfusion therapy. Therefore the client with wheezing should be treated first. Itching, flushing, and pruritus indicate a mild allergic reaction. Clients with itching, flushing, and pruritus can be treated after treating the client with wheezing symptoms.

What medication can cause Diabetes Insipidus?

DEMECLOCYCLINE

What medication does a nurse expect to administer to control the bleeding in a patient with hemophilia a?

Factor 8 (VIII) concentrate

A nurse who works in a fertility clinic is discussing the inheritance pattern of sickle cell disease with the parents of a school-aged child with the disease. The parents are planning to have a second child. The nurse knows that the parental genotypic makeup is: 1 Father heterozygous (sickle trait), mother heterozygous (sickle trait) 2 Mother homozygous (no sickle trait), father heterozygous (sickle trait) 3 Father homozygous (no sickle trait), mother heterozygous (sickle trait) 4 Mother homozygous (has sickle cell disease), father is homozygous (no sickle trait)

Father heterozygous (sickle trait), mother heterozygous (sickle trait) Sickle cell disease is an autosomal recessive disorder; each parent contributes one affected gene. All children with a mother who is homozygous (has sickle cell disease) and a father who is homozygous (no sickle trait) will have the sickle cell trait but not sickle cell disease. There is a 50% chance that a child with a homozygous mother/heterozygous father, homozygous father/heterozygous mother, or homozygous mother/homozygous father will have the sickle cell trait, not sickle cell disease.

The nurse is planning discharge instructions for a client who had a thyroidectomy. What signs/symptoms will the client exhibit with surgically induced hypothyroidism? Select all that apply.

Fatigue Dry Skin

A nurse is caring for a newly admitted client with a diagnosis of Graves disease. In preparing a teaching plan, the nurse anticipates which diet will be prescribed for this client? -High-calorie diet -Low-sodium diet -High-roughage diet -Mechanical-soft diet

High calorie

After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion of anti diuretic hormone. What manifestations can be expected in the client?

Hyponatremia and decrease urine output

A nurse is caring for a client with a diagnosis of polycythemia vera. The client asks, "Why do I have an increased tendency to develop blood clots?" Which effect of the polycythemia vera should the nurse include in the teaching session? -Elevated blood pressure -Increased blood viscosity -Fragility of the blood cells -Immaturity of red blood cells

Increased blood viscosity. Polycythemia vera results in pathologically high concentrations of erythrocytes in the blood; increased viscosity promotes thrombus formation. Hypertension usually is related to narrowing or sclerosing of arteries, not to an increased number of blood cells. The fragility of blood cells does not affect the viscosity of the blood. Erythrocyte immaturity is not related to increased viscosity.

A nurse administers the drug desmopressin acetate (DDAVP) to a client with diabetes insipidus. What should the nurse monitor to evaluate the effectiveness of the drug? -Pulse and respiratory rate -arterial blood pH -intake and output -fasting serum glucose

Intake and output

When discussing the therapeutic regimen of vitamin B12 for pernicious anemia with the client, what teaching does the nurse provide?

Intramuscular injections once a month will maintain control

The nurse is examining the nails of four different client. What client does the nurse suspect as having an iron deficiency? -Clubbing -Koilonychia -Beau's grooves -Pitting

Koilonychia: Koilonychia, also known as spoon nails, is a nail disease that can be a sign of hypochromic anemia, especially iron-deficiency anemia. It refers to abnormally thin nails (usually of the hand) which have lost their convexity, becoming flat or even concave in shape.

The nurse assesses a client for the development of pernicious anemia after reviewing the client's history. Which condition did the nurse most likely find in the history? - Acute gastritis - Diabetes mellitus - Partial gastrectomy - Unhealthy dietary habit

Partial Gastrectomy

A 24 hour urine test is prescribed for a client who has a tentative diagnosis of pheochromocytoma. What should the nurse do first?

Start the time of the test after discarding the first void.

While caring for a client receiving blood transfusion care, the nurse notices that the client is having chest tightness, urticaria, dyspnea, lumbar pain, and hematuria. what is immediate nursing action?

Stop the transfusion ASAP

A nurse is caring for a patient who is undergoing chemotherapy to treat leukemia. What is the priority nursing intervention?

Use techniques to minimize risk of infection

A patient with sickle cell disease is admitted with vaso-occlusive crisis (painful episode). What are the priority nursing concerns? Select all that apply.

pain management oxygen supplementation hydration prevention of infection