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Questão 1
Questão
A nurse is planning care for a client who has a Hgb of 7.5 and a Hct of 21.5. Which of the following should the nurse include in the plan of care? (Select all that apply.)
Responda
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Provide assistance with ambulation.
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Monitor oxygen saturation.
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Weigh the client weekly.
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Obtain stool specimen for occult blood.
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Schedule daily rest periods.
Questão 2
Questão
A nurse is teaching a client who has a new prescription for ferrous sulfate (Feosol). Which of the following should be included in the teaching?
Responda
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Stools will be dark red in color.
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Take with a glass of milk if gastrointestinal distress occurs.
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Foods high in vitamin C will promote absorption.
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Take for 14 days.
Questão 3
Questão
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach cancer. Which of the following information should be included in the teaching? (Select all that apply.)
Responda
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“You will need a monthly injection of vitamin B12 for the rest of your life.”
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“Using the nasal spray form of vitamin B12 on a daily basis may be an option.”
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“An oral supplement of vitamin B12 taken on a daily basis may be an option.”
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“You should increase your intake of animal proteins, legumes, and dairy products to increase vitamin B12 in your diet.”
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“Add soy milk fortified with vitamin B12 to your diet to decrease the risk of pernicious anemia.”
Questão 4
Questão
A nurse is completing an integumentary assessment of a client who has anemia. Which of the following is an expected finding?
Responda
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Absent turgor
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Spoon-shaped nails
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Shiny, hairless legs
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Yellow mucous membranes
Questão 5
Questão
A nurse in a clinic receives a phone call from a client seeking information about his new prescription for erythropoietin (Epogen). Which of the following information should be reviewed with the client?
Responda
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The client needs an erythrocyte sedimentation rate (ESR) test weekly.
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The client should have his hemoglobin checked twice a week.
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Oxygen saturation levels should be monitored.
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Folic acid production will increase.
Questão 6
Questão
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following indicates that the client’s clotting factors are becoming depleted? (Select all that apply.)
Responda
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Platelets 100,000/mm³
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Fibrinogen levels 97 mg/dL
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Fibrin degradation products 4.3 mcg/mL
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D-dimer 179 ng/mL
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Sedimentation rate 38 mm/hr
Questão 7
Questão
A nurse is assessing a client and suspects the client is experiencing disseminated intravascular coagulation (DIC). Which of the following physical findings should the nurse anticipate?
Responda
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Bradycardia
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Hypertension
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Epistaxis
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Xerostomia
Questão 8
Questão
A nurse is caring for a client who has idiopathic thrombocytopenic purpura (ITP). The nurse should notify the provider and report possible small-vessel clotting when which of the following is assessed?
Responda
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Petechiae on the upper chest
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Hypotension
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Cyanotic nail beds
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Severe headache
Questão 9
Questão
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following medications should the nurse anticipate administering to the client?
Responda
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Heparin
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Vitamin K
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Antibiotic
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Antilipemic
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