A nurse has admitted a child newly diagnosed with anemia of unknown origin. Whic
ID: 138103 • Letter: A
Question
A nurse has admitted a child newly diagnosed with anemia of unknown origin. Which clinical problem is of greatest concern?
The client's cardiac output will be insufficient
The client will become fatigued with increased activity
The client has a nutritional deficiency of some sort
The client may experience pain because of vaso-occlusion
A client with a platelet count of 18,000. What intervention must the nurse include in the plan of care?
A nurse is admitting a client diagnosed with aplastic anemia. Which is the best room for the nurse to assign to this client?
A semi-private room with a client diagnosed with urosepsis
A private room at the end of the hall
A semi-private isolation room equipped with a negative airflow
A semi-private room with a client diagnosed with thrombophlebitis
A client with anemia is unable to tolerate increased activity without experiencing fatigue. What nursing interventions should the nurse implement? Select all that apply
Space interventions during the day
Teach the client the basics of good nutrition
Promote active and passive range of motion
Teach the client to change positions slowly to prevent dizziness
Encourage defined rest period during the day
A nurse is caring for a patient diagnosed with polycythemmia. What should the nurse include in the teaching plan?
Drink at least 3 liters of fluid a day
Monitor for signs of bleeding
Avoid contact with people who have infection
Plan for periods of rest
Which of the following identifies the role of the neutrophil as it relates to the inflammatory process? Neutrophils
enhance vessel permeability
dilate blood vessels
phagocytize any potentially harmful agents
Increase fluid at the site of the injury
The nurse demonstrates ab accurate understanding of the process of phagocytosis if he describes it as:
Required for the production of antibodies
The initial reaction in the inflammatory response
A protein produced in response to a viral infection
A process by which a particle is ingested and digested by a cell
Institute bleeding precautions
Institute neutropenic precautions
Schedule all medications to be given IM
Obtain temperature rectally
1.The client's cardiac output will be insufficient
2.The client will become fatigued with increased activity
3.The client has a nutritional deficiency of some sort
4.The client may experience pain because of vaso-occlusion
A client with a platelet count of 18,000. What intervention must the nurse include in the plan of care?
A nurse is admitting a client diagnosed with aplastic anemia. Which is the best room for the nurse to assign to this client?
1.A semi-private room with a client diagnosed with urosepsis
2.A private room at the end of the hall
3.A semi-private isolation room equipped with a negative airflow
4.A semi-private room with a client diagnosed with thrombophlebitis
A client with anemia is unable to tolerate increased activity without experiencing fatigue. What nursing interventions should the nurse implement? Select all that apply
1.Space interventions during the day
2.Teach the client the basics of good nutrition
3.Promote active and passive range of motion
4.Teach the client to change positions slowly to prevent dizziness
5.Encourage defined rest period during the day
A nurse is caring for a patient diagnosed with polycythemmia. What should the nurse include in the teaching plan?
1.Drink at least 3 liters of fluid a day
2.Monitor for signs of bleeding
3.Avoid contact with people who have infection
4.Plan for periods of rest
Which of the following identifies the role of the neutrophil as it relates to the inflammatory process? Neutrophils
1.enhance vessel permeability
2.dilate blood vessels
3.phagocytize any potentially harmful agents
4.Increase fluid at the site of the injury
The nurse demonstrates ab accurate understanding of the process of phagocytosis if he describes it as:
1.Required for the production of antibodies
2.The initial reaction in the inflammatory response
3.A protein produced in response to a viral infection
4.A process by which a particle is ingested and digested by a cell
1.Institute bleeding precautions
2.Institute neutropenic precautions
3.Schedule all medications to be given IM
4.Obtain temperature rectally
Explanation / Answer
And 1. Option 2.
Ans2. Nursing interventions for a patient with platelet count of 18000 :
Ans3. Option 3.
Ans4. Option 3, 4, 5
Ans5.Option.2
And 6. Option 3
Ans7. Option 2.
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