chapter 31

the nurse is caring for a client on the medical - surgical unit of teh hospital. what client is most likely to be receiving a treatment for sickle cell anemia

a 19 year old african american male

the rn and lpn are preparing an educational program for clients who may be at risk for the development of ion defiency anemia , which clients would receive the greatest benefit from this program ?

a young female with bulimia nervosa an older adult client on a fixed income a client with crohns disease

a cleint with sickle cell anemia informs the nurse that they are experiencing chest pain. the nurse hears the client coughing, wheezing, and breathing rapidly. what does the nurse suspect is happening to the client

acute chest syndrome

a client comes to the walk in clinic complaining of weakness and fatigue. while assessing the client, you find evidence of petechiae and ecchymoses. you note that the spleen appears enlarged. what would you suspect is wrong with this client

aplastic anemia

you are caring for an 87 year old female who has been admitted to your unit with anemia. what would you suspect?

blood loss from the gastrointestinal or gastrourinary tract

a client is found to have a low hemoglobin and hemacrit when labratory work was performed. what does the nurse understand the anemia may have resulted from?

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

the nursing instructor is talking with their clinical group about coagulopathies. how should the instructor define this

coagulopathies are bleeding disorders that involve platelets or clotting factors

a client diagnosed with polycthemia vera has come into the clinic because he has developed a nighttime cough, fatigue, and sob. what complication would you suspect in the client

congestive heart failure

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

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

the nurse observes the lab studies for a client in the hospital with fatigue, feeling cold al, the time, and a hemoglobin if 8.6 g/dl and a hemacrit of 28% what finding would be an indication of iron deficiency anemia

erythrocytes that are microctic an dhypochromic

a client is suspected of having leukemia and is having a series of lab and diagnostic studies performed. what does the nurse recognize as the hallmark signs of leukemia?

frequent infections fatigue from anemia easy bruising

a 15 year old client with hemophilia sustains a leg laceration after falling off of his skateboard and is brought to the ED . the laceration is profusely bleeding even with direct pressure. what does the nurse anticipate will be ordered to control the bleeding

fresh frozen plasma

the nurse is following a plan of care for a client who is being treaed for hypovolemic anemia and is at risk for hypovolemic shock. the nurse assesses vital signs and o2 sat and observes the percentage to be at 89 percetn for 3 minutes, what should the first nursing action be ?

give oxygen per nasal cannula

the nurse is collecting data from a client who has been diagnosed with iron deficiency anemia . what subjective findings does the nurse recongnize as symptoms related to this type of anemia

i have difficulty breathing when walking 30 feet

the nurse ios caring for a client who is having a sickel cell crisis. which order for anagelsia should the nurse consult with the doctor

meperedine, demerol

a client is admitted to the hospital with a pathologic pelvic fracture. the client informs the nurse that he has been having strange pain int he pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. what does the nurse suspect may be occuring based on the symptoms

multiple myeloma

a client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in his arms and legs. what do these symptoms indicate?

neurological involvement

teh nurse is instructing the client with sickle cell anemia about the use of an inhaled vasodilator that may reduce the sickling. what medication if the nurse instructing the client about

nitric oxide

a client is being treated in the hospital for hypovolemia related to bleeding peptic ulcer. the nurse obtains a blood pressure reading of 88/ 62, heart rate of 112 bpm, and respiratory rate of 24. what is the first action by the nurse ?

notify the physician

a client with multiple myeloma is complaining of severe pain when the nurse comes in to give a abth and change positions. what is the primary intervention for the nurse?

obtain the pain medication and postpone the bath and position change until the pain medication peaks

teh nurse is caring for an older adult client with hemolytic anemia, what does the nurse understand about the reason the client is most susceptible to this disorder

older client s take more medications than the younger people

you are caring for a client with multiple myeloma. why would it be important to assess this client fro fractures?

osteoclasts breaks down bone cells to pathologic fractures occur

the nurse is caring for a client with hypovolemic anemia who is now in hypovolemic shock from a duodenal ulcer bleed. what is the first intervention the nurse can provide to facillitate blood flow to the brain ?

place the client in a modified trendelenburg position

the nursing instructor is discussing disorders of the hematopoeitic system with the pre0nursing pathophysiology class. what disease would the instructor list with a primary characteristic of erythrocytes

polycythemis vera

a cleint is experiencing chronic hypovolemic anemia as evidence by lab results. what symptoms does the nurse expect to find for this client when collecting objective data?

postural hypotension

your client was admitted to the emergency department after an accident with a chain saw. the client is exhibiting signs and symptoms of acute hypovolemic anemia from severe blood loss. what signs and symptoms would you assess for.

reduced urine output

you are assisting your client with multiple myeloma to ambulate. what is the most important nursing diagnosis to help prevent fractures in this client >?

safety

parents arrive with their 5year old child and inform the nurse the child has just been diagnosed with sickle cell anemia. the paretns ask the nurse how this could have happened and which one of them is the carrier. what is the best response by the nurse?

the child must inherit two recessice genes. one from each parent

the nurse caring for an elderly adult with a diagnosis of leukemia would encourage the client to use an electric razor. why?

trauma and microabrasions may contribute to anemia

a client is seen int he emergency departmetn with severe pain related to a sickle cell crisis. what does the nurse understand is occuring with this client ?

vascular occlusion in small vessels decreasing blood and oxygen to the tissues