Med Surg- quiz 5 Blood

Patient with pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Schilling test

A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm3. The nurse should monitor the client for which of the following conditions?

Spontaneous bleeding

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain. Which of the following actions should the nurse take first?

Stop the infusion of blood

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

"Offer fluids to your child multiple times every day."

The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

"Taking the medication between meals will help you absorb the medication more efficiently."

Describe Hemolytic Transfusion reaction?

A serious complication that can occur after a blood transfusion. The reaction occurs when the red blood cells that were given during the transfusion are destroyed by the person's immune system. When red blood cells are destroyed, the process is called hemolysis. S/S of hemolytic transfusion reaction include: back pain, chills, dizziness or fainting, fever, flank pain, flushing of the skin and bloody urine.

Aplastic anemia results in?

Aplastic anemia results from decreased bone marrow production of RBCs. The condition leaves you fatigued and more prone to infections and uncontrolled bleeding.

A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?

Blood pressure 115/68 mmHg

A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia. Which of the following actions should the plan to nurse take?

Check the client's vital signs every hour during the transfusion. During blood transfusions, vital signs are taken at baseline, 10-15 minutes after initiation, hourly, and 30 minutes after blood administration is complete.

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

Fatigue

"DIC" (Disseminated intravascular coagulation) is caused by abnormal coagulation involving?

Fibrinogen

What VS indicates to the nurse that the client may be developing hypovolemic shock?

Increase in the heart rate from 88 to 110 beats per minute.

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspect which of the following types of anemia?

Iron-deficiency anemia

Why take the medication with orange juice to enhance absorption.

It has been found that vitamin C can increase the amount of iron that the body absorbs from plant sources, the non-heme iron. Vitamin C is found in foods such as citrus fruits, tomatoes, potatoes, strawberries, green and red bell peppers, broccoli, Brussels sprouts and kiwis.

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?

Packed RBCs "Packed RBCs are given to restore blood volume and replace hematocrit and hemoglobin levels in clients who have hypovolemic shock."

A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?

Pain

A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?

Tomato juice (vitamin C)

Which of the following foods should the nurse recommend to the patient for iron def anemia?

Tuna fish, spinach and beef, red meat and organ meat, 1 cup canned black beans.

A nurse is caring for a client who sustained blood loss. List manifestations of hypovolemia?

Weak pulse, tachycardia, hypotension, tachypnea, slow capillary refill, elevated BUN, increased urine specific gravity, decreased urine output

What foods should the nurse include as high in folate?

½ cup of asparagus