A patient with symptoms related to secondary polycythemia caused by renal cell carcinoma is not a surgical candidate and has elected not to start chemotherapy or radiation therapy due to the low success rates of these treatment modalities
The nurse recognizes that management of the symptoms of secondary polycythemia will likely require:
A) A transfusion of packed red blood cells
B) Therapeutic phlebotomy
C) High-dose vitamin and iron therapy
D) Administration of corticosteroid therapy
Ans: B
Feedback: If the cause of secondary polycythemia cannot be corrected, therapeutic phlebotomy may be necessary in symptomatic patients to reduce blood viscosity and volume.
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The nurse's hourly assessment of a male patient with burns reveals that the patient's blood pressure is trending downward and that his heart rate is trending upward. What intervention has the potential to resolve these trends?
A) Increasing the rate of the patient's fluid resuscitation B) Performing intermittent urinary catheterization C) Increasing the rate of the patient's morphine infusion D) Repositioning the patient
The nurse is engaged in active listening who:
a. focuses on the feelings of the individual who is speaking. b. is active in performing procedures for the client. c. responds in an active way to what the client is saying. d. focuses primarily on the words of the speaker.
A nurse assesses the gestational age of a newborn. She explains to the parents that the newborn is premature. All of the following assessment findings are congruent with prematurity except:
1. Cry is weak and feeble. 2. Clitoris and labia minora are prominent. 3. Strong sucking reflex. 4. Lanugo is plentiful.
________ is a chronic, progressive, degenerative disease that attacks the outer covering of the nerves.
Fill in the blank(s) with the appropriate word(s).