LIP- RBC
The nurse is assisting with a bone marrow aspiration and biopsy. In which order from first to last should the nurse complete these tasks?
1- verify the client has signed consent form 2- position the client in a side lying position 3- clean the site with an antiseptic solution 4- apply ice to biopsy site
in a post op client the hematocrit decreased from 36% to 34% on the 3rd day, but the RBC and hemoglobin remained stable at 4.5 million and 11.9. the nurse should next..
continue to monitor vital signs
what directions should the nurse provide to e ayoung female adult with sickle cell anemia? SELECT ALL THAT APPlY
drink plenty of fluids when outside hot weather avoid being in high altitudes where less 02 is pregnancy increases risk of crisis
a client who follows a vegetarian diet was referred for nutritional counseling for anemia. which client outcome indicates the client does not understand ?
drinks coffee and tea everyday
when a client is receiving cephalosporin the nurse should monitor the client for which finding?
drug induced hemolytic anemia
The nurse is preparing to teach a client with iron deficiency anemia about the the diet to follow after discharge. which food should be included in the diet?
eggs
a client is receiving epoetin injections. what lab value should nurse assess before giving injection?
hematocrit
The nurse should instruct the client with vitamin b 12 deficiency to eat which foods to obtain the best supply of vitamin b12?
meats and dairy products
a client is having a schilling test. the nurse should?
start a 24-48 hr urine specimen collection
a client with pernicious anemia asks why they have to take vitamin b 12 injections forever. the nurse best response is?
the reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing enough amounts of a factor that allows the vitamin to be absorbed
a client is having a blood transfusion reaction. what must the nurse do in order of priority from first to last?
1- stop trasnfusion 2- keep iv lopen with normal saline 3- notify HCP 4- complete the appropriate transfusion reaction form
A client with macrocytic anemia has a burn on her foot and states that she had been watching television while lying on a heating pad. What is the nurse's first response?
check for diminished sensations
what safety measure would be most important to implement when caring for a client who is receiving 2 units of PRBC? SELECT ALL THAT APPLY.
infuse a unit of PRBC in less then 4 hrs stop transfusion if reaction occurs inspect bag for leaks, abnormal color and clots
A client has fatigue, temp of 99.5, dark bronze skin, and dark urine. hemoglobin is 9, hematocrit is 49%, and RBC's are 2.75 million. what should the nurse do first?
initiate I/o record
which lab value should the nurse report to the HCP when the client has anemia?
intrinsic factor, absent
the nurse is administering PRBC. the nurse should first...
stay with the client first 15 min of infusion
a client was admitted for iron deficiency anemia and blood streaked emesis. which question is most appropriate for the nurse to ask in determining the extent of the client activity intolerance?
what daily activities were you able to do 6 months ago compared to the present ?
the nurse is developing a teaching plan for a client with aplastic anemia. which is most important to include the plan?
avoid exposure to others with acute infections
when a client is diagnosed with aplastic anemia the nurse should assess the client for changes in which physiologic function?
bleeding tendencies
a client is to have a transfusion of packed red blood cells from a designated donor. the client asks if any diseases can be be transmitted by this donor. the nurse should inform the client that which diseases can be transmitted by a designated donor? SELECT ALL THAT APPLY.
Epstein barr virus hiv cytomegalovirus (cmv)
client has resection of ileum 3 years ago. client is experiencing weakness, sob, sore tongue. which additional finding indicates a need for further teaching?
I take vit b12 every day
A client with pernicious anemia is receiving vitamin B12 . the nurse should evaluate the client for which expected outcomes of vitamin b12?
absence of parasthesias
when beginning iv erythropoietin therapy what actions should the nurse take? SELECT ALL THAT APPLY.
administer med through iv line without other meds adjust initial dose according to changes in BP instruct client to avoid driving and performing hazardous activity during initial tx
a client who had received 25ml of PRBC has low back pain and pruritis, after stopping transfusion the nurse should take what action next?
collect blood and urine samples and send to lab
the nurse just admitted a 35 yo female client who has serum vitamin b12 concentration of 800pg/ml. which finding should alert the nurse to focus the health hx to obtain specific info about drug or alcohol use?
folate 1.5 ng/ml
which is a late symptom of polycythemia vera?
pruritus
A client with iron deficiency anemia is refusing to take the prescribed oral iron medication because its causing nausea and constipation. what actions should the nurse take? SELECT ALL THAT APPLY.
suggest that the client use ginger when taking med ask the client what is causing nausea suggest client take iron with orange juice
a client is scared of getting b12 injections because of potential toxic reactions. which is the nurse best response to relieve these fears?
vit b12 is generally free of toxicity because it is water soluble
