chapter 30 sherpath

a patient with neutropenia asks how the prescribed protective (reverse) isolation helps prevent the spread of organisms. which response by the nurse is appropriate?

"it is designed to minimize the spread of germs to you from sources outside your environment."

while taking undiluted liquid iron that was prescribed, a patient asks the nurse why it must be drunk through a straw. which response by the nurse is appropriate?

"it prevents staining of the teeth"

the nurse is providing discharge instructions to a patient who has anemia secondary to acute blood loss. which instruction would the nurse include in the discharge practice?

"now that the blood loss is controlled and as your blood volume is replaced, the anemia generally corrects itself, so no long term treatment is needed."

a patient that is receiving treatment for thalassemia shows evidence of hemolysis. the nurse anticipates a prescription for which supplementation?

folic acid

which condition results in anemia due to synthesis of defective deoxyribonucleic acid (DNA) in the body?

folic acid deficiency

a patient is to receive cobalamin (vitamin B12) 1000 mcg by mouth (PO). the pharmacy issues 250-mcg tablets. which number of tablets would the nurse administer to the patient?

four tablets

the nurse would take which action to ensure patient safety when administering a unit of packed red blood cells (PRBCs).

have a second registered nurse check the identifying information on the unit of blood against the identification bracelet and blood-bank identification bracelet.

the nurse reviews a patient's assessment findings, which include arthralgia, liver enlargement, and a total body iron level of 70 g. the nurse would anticipate providing care related to which condition?

hemochromatosis

the nurse recalls that heparin should not be given to a patient with a history of which condition?

heparin-induced thrombocytopenia (HIT)

the nurse reviews documentation of assessment findings of a patient with severe anemia. which assessment finding would the nurse question?

hyperpigmentation

the nurse recalls that hemolytic anemia can be caused by which extrinsic factors?

infectious agent

which action would the nurse take to safely infuse one unit of fresh frozen plasma (FFP) in a patient?

infuse the FFP as rapidly as the patient with tolerate

which condition may cause a patient to develop anemia due to decreased hemoglobin synthesis?

iron deficiency

the nurse understand that with repeated episodes of sickling, which organ is most effected?

lungs

a patient has a hemoglobin level of 11 g/dL. the nurse determines that the patient has which level of severity of anemia?

mild anemia

which erythrocyte characteristic would the nurse expect to see in the laboratory findings fora patient who has experienced acute blood loss?

normocytic

which assessment finding would the nurse associate with severe anemia?

pallor

a patient's laboratory report reveals hemoglobin (HGB) level of 11 g/dL. the nurse expects to observe which clinical manifestation?

palpitations

which role does folic acid play in erythropoiesis?

promotes red blood cell (RBC) maturation

the nurse assesses a patient with a pernicious anemia and expects to find which classic sign of this condition?

red, beefy tongue

which condition is characterized by the presence of a high percentage of hemoglobin S (HGB S) in the erythrocytes?

sickle cell anemia

which finding supports the nurse's conclusion that a patient has pernicious anemia?

smooth, beefy-red tongue

which instruction would the nurse include in the teaching plan for a patient newly diagnosed with microcytic hypochromic anemia?

take the iron with orange juice one hour before meals

the nurse would ask which health care team member to assist when checking a unit of packed red blood cells before administration?

another registered nurse (RN)

a patient with anemia experiences fatigue when performing activities of daily living. which nursing intervention is appropriate to include in the patient's plan of care?

assist the patient in prioritizing activities

to prepare for a patient's transfusion of packed red blood cells, the nurse would select which IV solution to use for the procedure?

0.9% normal saline

the nurse is caring for a patient with severe anemia. the nurse expects which compensatory respiratory changes? SATA

1,2,3

which laboratory report findings support the nurse's conclusion that a patient has thalassemia major? SATA

1,2,3

a nurse mentor provides teaching to a group of nursing students about the cardiacs manifestations of severe anemia. which compensatory cardiac changes would the nurse include? SATA

1,2,4

the nurse assesses a patient who has severe anemia and expects to find which manifestations? SATA

1,2,4,5

the nurse expects to observe which manifestations in a patient who experienced an acute blood loss of 2000 mL? SATA

1,2,5

which foods would the nurse encourage the patient to eat in order to provide nutritional support for hemoglobin synthesis? SATA

1,2,5

to ensure maximum effectiveness of lifelong iron supplementation therapy, which intervention would the nurse include in the patient's plan of care? SATA

1,3,5

the nurse suspects that a patient has polycythemia vera based on which findings in the patient's laboratory reports? SATA

1,4,5,6

The nurse provides discharge teaching for a patient with sickle cell disease (SCD). which statements made by the patient indicate understanding of the teaching? SATA

1,5

if a unit of packed red blood cells is picked up from the laboratory at 1015, he nurse would plan to hang the unit to begin infusion no later than which time?

1045

the nurse will begin a patient's blood transfusion of packed red blood cells at 1030. the nurse will plan to stay in the patient's room until which time?

1045

The nurse provides dietary teaching to a patient with anemia and would include which food sources to promote red blood cell (RBC) maturation? SATA

3,4

the nurse would instruct the patient about which side effects of oral iron supplements? SATA

3,4,5

when a patient is prescribed iron tablets for the treatment of anemia, which measures ensure maximum absorption? SATA

4,5

which potential side effect would the nurse include when teaching a patient about the administration of ferrous gluconate?

constipation

which instruction would the nurse include when teaching a patient about the administration of an iron supplement?

dilute the liquid iron and ingest it through a straw

a patient's laboratory reports show a low mean corpuscular volume (MCV) and a high reticulocyte count. the nurse suspects which condition?

thalassemia

the nurse recalls that the standard of care for pain includes which component?

that competent ad compassionate care is provided to all patients