Chapter 33 study guide book

C

A patient describes numbness in the arms and hands with a tingling sensation and frequent stumbling when walking. What vitamin deficiency does the nurse determine may contribute to some of these symptoms? A. Thiamine B. Folate C. B12 D. Iron

D

A patient had gastric bypass surgery 3 years ago and now, experiencing fatigue, visits the clinic to determine the cause. The patient takes pantoprazole for the treatment of frequent heartburn. What type of anemia is this patient at risk for? A. Aplastic anemia B. Iron deficiency C. Sickle cell disease D. Pernicious anemia

A

A patient is taking prednisone 60 mg per day for the treatment of an acute exacerbation of Crohn's disease. The patient has developed lymphopenia with a lymphocyte count of less than 1500 mm^3. What should the nurse monitor the client for? A. The onset of a bacterial infection B. Bleeding C. Abdominal pain D. Diarrhea

C

A patient with ESRD is taking recombinant erythropoietin for the treatment of anemia. What laboratory finding study does the nurse determine will have to be assessed at least monthly related to this medication? A. Potassium level B. Creatine level C. Hemoglobin D. Folate levels

D

A patient with end stage kidney disease (ESKD) has developed anemia. What laboratory finding does the nurse understand to be significant in this stage of anemia? A. Potassium level of 5.2 mEq/L B. Magnesium level of 2.5 mg/dL C. Calcium level of 9.4 mg/dL D. Creatine level of 6 mg/100 mL

C

The nurse is assessing a patient who is a strict vegetarian. What type of anemia is the nurse aware that this patient is at risk for? A. Iron deficiency anemia B. Aplastic anemia C. Megaloblastic anemia D. Sickle cell disease

A

The nurse observes a coworker eating ice frequently. The nurse encourages the coworker to have an examination and diagnostic workup with the healthcare provider. What type of anemia is the nurse concerned the coworker may have? A. Iron deficiency anemia B. Megaloblastic anemia C. Sickle cell anemia Aplastic anemia

A

Which patient does the nurse recognize as being most likely to be affected by sickle cell disease? A. A 14 year old African-American boy B. A 26 year old Eastern European Jewish woman C. An 18 year old Chinese woman D. A 28 year old Israeli man

B

The nurse is assessing a patient who comes to the clinic reporting feeling constantly tired and very weak. The patient also has a very sore tongue, and upon observing the patient's oral cavity, the nurse notices the tongue is beefy red. What type of anemia does the nurse know these symptoms indicate? A. Iron deficiency anemia B. Megaloblastic anemia C. Sickle cell disease D aplastic anemia

A

The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption of iron when eating these foods. What can the nurse inform the client would enhance the absorption? A. Eating calf's liver with a glass of orange juice B. Eating leafy green vegetables with a glass of water C. Eating apple slices with carrots D. Eating a steak with mushrooms

C

The nurse is performing an assessment for a client with anemia admitted to the hospital to have blood transfusions administered. Why would the nurse need to include a nutritional assessment for this patient? A. It is part of the required assessment information B. It is important for the nurse to determine whattype of foods the patient will eat C. It may indicate deficiencies in essential nutrients D. It will determine what type of anemia the patient has

B

The nurse is preparing the patient for a test to determine the cause of vitamin B12 deficiency. The patient will receive a small oral dose of radioactive vitamin B12 followed by a large parenteral dose of non radioactive dose of B12. What test is the patient being prepared for? A. Bone marrow aspiration B. Schilling test C. Bone marrow biopsy D. Magnetic resonance imaging (MRI) study

C

A patient with sickle cell disease comes to the emergency department reporting severe pain in the back, right hip, and right arm. What intervention is important for the nurse to provide? A. Administer aspirin B. Administer ibuprofen C. Start an intravenous line with dextrose 5% in 0.24 normal saline D. Begin oxygen at 2 L/M

B

A patient with sickle cell disease is brought to the emergency department by a parent. The patient has a fever of 101.6, heart rate of 116, and a respiratory rate of 32. The nurse auscultates bilateral wheezes in both lung fields. What does the nurse suspect this patient is experiencing? A. Pneumonia B. Acute chest syndrome C. An exacerbation of asthma D. Pulmonary edema

A,B,C

A patient with sickle cell disease is to begin treatment for the disease with hydroxyurea. What does the nurse inform the patient will be the benefits of treatment with this medication?(select all that apply) A. Fewer painful episodes of sickle cell crisis B. Lower incidence of acute chest syndrome C. Decreased need for blood transfusions D. Decreased need for other analgesic medications E. ability to reverse the damage done from suckling of cells