Ch 33 prep U

A client with megaloblastic anemia reports mouth and tongue soreness. What instruction will the nurse give the client regarding eating while managing the client's symptoms?

"Eat small amounts of bland, soft foods frequently."

A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin the nurse teaches a client about warfarin therapy which statement by the client indicates a need for further teaching

"I'll eat four servings of fresh, dark green vegetables every day."

A few minutes after beginning a blood transfusion a nurse notes that a client has chills dyspnea and uritucaria The nurse reports this to the healthcare provider immediately because the client probably is experiencing which problem

A hemolytic allergic reaction caused by an antigen reaction

What measurement should the nurse report to the physician in the immediate postoperative.

A systematic blood pressure lower than 90 mm Hg

A client is hospitalized three days prior to a total hip arthroplasty and reports a high level of pain with ambulation the client has been taking warfarin at home which is now discontinued to prevent the formation of blood clots which action should the nurse take

Administer the prescribed an ox a friend

A client in end-stage renal disease is prescribed epoetin alpha an oral iron supplement What is a priority action taken by the nurse

Assess the hemoglobin

A client had a nephrectomy two days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to

Auscultate bowel sounds

A client is found to have a low hemoglobin and hematocrit when laboratory work was performed what does the nurse understand anemia may have resulted from select all that apply

Blood loss, abnormal erythrocyte production , and destruction of normally form red blood cells

A client is transferred from the post anesthesia care unit to an inpatient care unit what will the nurse assess first

Breathing

A client with multiple myeloma reports pain along the spinal column. The client is prescribed naproxen and oxycodone part administering the medication is the nurse

Check the clients BUN and creatinine

A male client has been receiving a continuous infusion of weight base heparin for more than four days to clients PTT is at a level that requires an increase of heparin by 100 units per hour the client has a laboratory findings shown above what is the most important action for the nurse to take

Consult with the physician about discontinuing heparin

A patient with end-stage kidney disease has developed anemia what laboratory findings does the nurse understand to be significant in this stage of anemia

Creatinine level of 6 mg/ hundred mL

A client with an abdominal surgical and sneezes and then states something doesn't feel right with my phoned the nurse assesses the upper half of the world edges noticing that they are no longer approximated and the lower half or means well approximate the nurse would document that following us to use the wound

Dehisced

The nurse is Xinyun the dressing at the client who has four days postoperative with an abdominal wound. The nurse has changed The dressing daily Since surgery. Today the nurse notes increase cero serosanguinous drainage, Wound edges not approximated, and a quarter inch 6 mm gap at the lower and the incision. The nurse concludes which of the following conditions exist

Dehiscence

The nurse is instructing a client about taking a liquid iron preparation for the treatment of iron deficiency anemia what should the nurse include in the instructions

Dilute the liquid preparation with another liquid such as juice and drink with a straw.

The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption of iron when eating this food. What can a nurse informed the client would enhance the absorption?

Eating calves liver with a glass of orange juice

The nurse is caring for a client post operatively. What nursing interventions help prevent venous statuses and other circulatory complications in a client who has undergone surgery?

Encourage client to move legs frequently and do leg exercises

A client has a history of sickle cell anemia with several sickle cell crisis over the past 10 years what blood component results in sickle cell anemia

Hemoglobin S

A client with anemia is prescribed an oral iron supplement. Which statement indicates that the teaching about the supplement has been effective

I will take it in the morning with orange juice

A client with severe anemia report symptoms of tachycardia palpitations exertional of the Spagna call extremities and dizziness with ambulation laboratory test results reveal low hemoglobin and hematocrit levels based on the assessment data, which nursing diagnosis is most appropriate for this client

Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit

A client is receiving chemotherapy for cancer the nurse reviews the clients laboratory report and knows that he has thrombocytopenia to which nursing diagnosis should the nurse give the highest priority

Ineffective tissue perfusion: Cerebral, cardio pulmonary, G.I.

The nurse observes a coworker who always seems to be eating a cup of ice the nurse encourages a coworker to have an examination diagnostic work up with the healthcare provider what type of anemia is a nurse considered a coworker may have

Iron deficiency anemia

During the review of morning laboratory values for a client reporting severe fatigue and a red swollen tongue the nurse suspects chronic severe iron deficiency anemia based on which findings

Low ferritin level concentration

A client with a diagnosis of pernicious anemia come to the clinic and reports numbness and tingling in the arms and legs. What do these symptoms indicate?

Neurological involvement

The nurse is caring for a client in the emergency room with a severe nosebleed comes concerned when the client asks for a bedpan the nurse document the store as loose tarry and block looking the nurse suspects the client may have thrombocytopenia what should be the nurses priority action

Notify the physician

The nurse provides care for an older adult client. Diagnosed with anemia who has a hemoglobin of 9.6 g/dL and a hematocrit of 34% to determine the cause of the clients blood loss which is a priority nursing action

Observe the clients stools for blood

Unless contra indicated how should the nurse position an unconscious client's

On the side with the pillow at the patient's back and the chin extended to minimize the dangers of aspiration

A client diagnosed with a systemic lupus erythematosus Constant urgency department with severe back pain. The client is taking prednisone daily and reported feeling pain after manually opening the garage door. What address effects of long-term corticosteroid therapy is most likely responsible for the pain?

Osteoporosis

A client awaiting a bone marrow aspiration ask the nurse explain where on the body the procedure will take place what body part the nurse identify for the client

Posterior iliac crest

A young mother with a 2 year old and a six month old is experiencing fatigue related to anemia. The client states that she was having difficulty performing the activities needed for her job, family, and home. With what task is it most important for the nurse assist the client?

Prioritizing and balancing activities at Rest

Which of the following is considered an antidote to heparin?

Protamine sulfate

Which action should the nurse perform to prevent deep and thrombosis when caring for a post surgical client

Reinforced need to perform like exercises every hour when I wake

A client is prescribed 325 mg per day of oral ferrous sulfate what does the nurse include in client teaching

Take one hour before breakfast

A physician calls a nurse for an update on his client who underwent abdominal surgery five hours ago. The physician asked the nurse for the total amount of drainage collected in the Hemovac since surgery. The nurse reports that according to documentation, no drainage has been recorded. When the nurse finishes on the telephone, she goes to assess the client. Which assessment finding explains the absence of drainage?

The Hemovac drain isn't compressed; instead it's fully expanded

A patient is taking prednisone 60 mg per day for the treatment of an acute exasperation of Crohn's disease. The patient has developed lymphopenia with a lymphocyte count of less than 1500 mm3 What should the nurse monitor the client for

The onset of bacterial infection

A client is treated for anemia. What is nurses best understanding about the correlation between anemia and the clients iron stores?

There is a strong correlation between iron stores and hemoglobin levels.

I recently asked to be the postoperative client starts to gag and make vomiting sounds what action should the nurse perform first

Turn the client onto their side

The nurse is caring for a client six hours post surgery the nurse observes that the client avoids urine frequently and in small amounts the nurse knows that this most probably indicates what

Urine retention

A nurse on the hematology/oncology floor is caring for a A client with a plastic anemia. Which would not be included in the clients discharge instructions?

Use a disposable razor and shaving

A nurse is caring for a client with thrombocytopenia what is the best way to protect this client

Use the smallest needle possible for injections.

A nurse cares for a client with hematological disorders in notes that the women are diagnosed with hemachromatosis at a much lower rate than men what is the primary reason for this

Women lose iron through menstrual cycles

The nurse is instructing the client with sickle cell disease about the use of an inhaled vasodilator that may reduce sickling what medication is a nurse instructing the client about

nitric oxide

A nurse is caring for a client with iron deficiency anemia which food or beverage will the nurse suggest to the client to eat or drink when taking supplemental iron

orange juice