Chapter 29 Prep U MEDSURG II

A client is found to have a low hemoglobin and hematocrit when laboratory work was performed. What does the nurse understand the anemia may have resulted from? Select all that apply. Abnormal erythrocyte production Blood loss Destruction of normally formed red blood cells Inadequate formed white blood cells Infection

Abnormal erythrocyte production Blood loss Destruction of normally formed red blood cells

The nurse is talking with the parents of a toddler who was diagnosed with hemophilia A. What instruction should the nurse give to the parents?

Administer factor VIII intravenously at the first sign of bleeding

A client is receiving chemotherapy for cancer. The nurse reviews the client's laboratory report and notes that he has thrombocytopenia. To which nursing diagnosis should the nurse give the highest priority?

Ineffective tissue perfusion: Cerebral, cardiopulmonary, GI

Which iron-rich foods should a nurse encourage an anemic client requiring iron therapy to eat?

Lamb and peaches

An older adult client who is a vegetarian has a hemoglobin of 10.2 gm/dL, vitamin B12 of 68 pg/mL (normal: 200-900 pg/mL), and MCV of 110 cubic micrometers. After interpreting the data, what instruction should the nurse give to the client?

Supplement the diet with vitamin B12.

A nurse is caring for a client with thalassemia who is being transfused. What is the nurse's role during a transfusion?

To closely monitor the rate of administration

A client with sickle cell disease informs the nurse that he is having chest pain. The nurse hears the client coughing, wheezing, and breathing rapidly. What does the nurse suspect is occurring with this client?

Acute chest syndrome

A client at the clinic has just been diagnosed with iron deficiency anemia. What would you recommend the client consume to promote the absorption of iron?

Meat, egg yolks, oysters, and shellfish

The nurse prepares a teaching plan for a client who is hospitalized with sickle cell disease. Which intervention(s) should the nurse include in the teaching plan? Select all that apply. Dress warmly in cold temperatures. Restrict fluid intake during crisis. Avoid travel to high altitude areas. Wear constrictive clothing to support circulation during exercise. Never exceed the recommended dosages of analgesics.

Never exceed the recommended dosages of analgesics. Dress warmly in cold temperatures. Avoid travel to high altitude areas.

Which term refers to an abnormal decrease in white blood cells, red blood cells, and platelets?

Pancytopenia