NURS 4700- anemia EAQ
The nurse expects to observe which manifestations in a patient who experienced an acute blood loss of 2000 mL? Select all that apply.
-Air hungry-Clammy skin-decreased central venous pressure
the nurse suspects that a patient has polycythemia vera based on which findings in the patient's lab report
Increased cobalamin levels Increased hemoglobin levels Increased red blood cell levels Increased white blood cell levels
which action would the nurse take to safely infuse one unit of fresh frozen plasma (FFP) in a patient?
Infuse the fresh frozen plasma as rapidly as the patient will tolerate.
The nurse provides discharge teaching to a patient with sickle cell disease (SCD). Which statements made by the patient indicates understanding of the teaching? Select all that apply.
"I should avoid high altitudes.""I should start screening for retinopathy at age 10."
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 teaching?
"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"
anemia due to synthesis of defective DNA in body
folic acid deficient
a patient is to receive cobalamin (vit B12) 1,000 mcg by mouth. The pharmacy issues 250-mcg tablets. What number of tablets are administered
four tablets
the nurse would take which action to ensure patient safety when administering a unit of packed rbcs?
have a second RN check for identifying info on the unit of blood against the identification bracelet and blood-bank identification bracelet
side effects of oral iron supplements
heartburn black stool constipation
the nurse reviews documentation of assessment findings of a patient with severe anemia. which assessment finding would the nurse question?
hyper- pigmentation
which lab findings support nursing conclusion for thalassemia major
increased bilirubin levels, serum iron levels, and reticulocyte level.
hemolytic anemia cause by which extrinsic factors
infectious agents
a patient with neutropenia asks how the prescribed protective (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
which patient is more likely to have a fast heart beat r/t to hbg
low hgb
sickling affects which organ
lungs
a patient that has sickle cell disease has developed cellulitis about the left ankle. which action is the nurse's priority for this patient
maintain oxygenaiton
Hgb level of 11. nurse determines which level severity of anemia
mild anemia
education for iron tablets for best absorption
orange juice hour befor meals
the nurse is caring for a patient with severe anemia. the nurse expects which compensatory respiratory changes?
orthopnea, tachypnea, and dyspnea at rest
which assessment finding would the nurse associate with severe anemia?
pallor
a patient with peptic ulcer disease has a hx. of bloody stools, a hgb of 10, and a total iron level of 40. the nurse would assess which clinical manifestations
pallor cheilitis paresthesias
a patient with peptic ulcer disease has a history of bloody stools, a hemoglobin level of 10 g/dL, and a total iron level of 40 mcg/dL. The nurse would assess for which clinical manifestation?
pallor cheilitis paresthesias
a patient's laboratory report revelas a Hgb level of 11. The nurse expects to observe which clinical manifestation?
palpitations
pernicious anemia
red beefy tongue
the patient is admitted in a state of shock with acute blood loss. the nurse reviews the patients POC and would perform interventions in which order
replacing blood volume identify source of hemorrhage Administer RBC Provide supplemental iron
high hemoglobin S
sickle cell disease
which instructions would the nurse include when teaching a patient about the administration of iron capsules?
take laxatives if needed take the med with orange juice the med may cause black stools
the nurse would ask which health care team member to assist when checking a unit of a packed rbc before administration
another registered nurse (RN)
The nurse assesses a patient who has severe anemia and expects to find which manifestations? Select all that apply.
-Vertigo -dyspnea at rest -jaundice and pruritus -glossitis and smooth tongue
which interventions would the nurse expect to be included in the plan of care for a patient with thalassemia major who is anemic and has a history of blood transfusions? Select all that apply.
-Zinc supplementation -Oral deferasirox (Exjade) -Continued blood transfusions -Ascorbic acid supplementation
transfusion of packed RBC, which IV solution
0.9 normal saline
a nurse mentor provides teaching to a group of nursing students about the cardiac manifestations of severe anemia. Which compensatory cardiac changes would the nurse include?
1. Tachycardia 2. Heart failure 4. Intermittent claudication
how long to stay in room when giving blood transfusion
15 minutes
which question would the nurse ask a patient after reviewing the following admission assessment data? Lab Values | Hgb 5.8 g/dL Neurological | Tired and irritable Integumentary | Pallor and pruritus Pulmonary | Dyspnea at rest
Have you experienced dark, tarry bowel movements?
which patient is most likely to experience anemia related to an increased destruction of rbcs?
A 23-year-old African American man who has a diagnosis of sickle cell disease
While taking undiluted liquid iron that was prescribed, a patient asks the nurse why it must be drunk through a straw. How should the nurse respond?
An undiluted iron preparation causes staining of the teeth if consumed without using a straw.
the nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching
I will take it with meals
the nurse is teaching a patient about the admin of liquid iron supplements. which response by the patient indicates the need for additional teaching?
I will take my iron supplement along with meals
a patient with anemia experiences fatigue when performing activities of daily living. which nursing intervention is appropriate to include in the POC?
Assist the patient in prioritizing activities.
a patient with thalassemia that is receiving a blood transfusion shows signs of hemochromatosis. The nurse anticipates a prescription for which medication?
Deferoxamine
which interventions would the nurse provide a patient who has polycythemia
Evaluating fluid intake and output Assessing the patient's nutritional status Initiating active and passive leg exercises
the nurse suspects that a patient is experiencing microcytic hypochromic anemia after noting which blood test results
Mean corpuscular volume of 70 fL and mean corpuscular hemoglobin of 20 pg
the ensure maximum effectiveness of lifelong iron supplementation therapy, which intervention would the nurse include in the patients plan of care
Monitor the patient for liver problems Evaluate the patient's response to the therapy Continue the supplementation for two to three months after hemoglobin levels return to normal
A nurse is caring for a patient with acute blood loss following an accident. Which erythrocyte characteristic would the nurse expect to see in the laboratory findings?
Normocromic
Folic acid role in erythropoiesis
RBC maturation
SE from 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
the nurses highest priority on initiating interventions that reduce which symptom in a patient with gastrointestinal blood, a hemoglobin of 8.7% and a hematocrit of 26%?
dizziness
A patient's laboratory reports show a low mean corpuscular volume (MCV) and a high reticulocyte count. The nurse suspects which condition?
thalassemia
which instruction would be beneficial for the nurse to provide a patient diagnosed with pernicious anemia
undergo GI cancer screen
