The patient, age 44, has polycythemia vera. The nurse recognizes that the primary pathophysiologic feature of this disorder is
a. hyperproduction of erythropoietin.
b. capillary fragility and hemorrhage.
c. fatty infiltration of the bone marrow.
d. increase in red blood cells and hemoglobin and hyperviscosity.
D
Polycythemia vera is characterized by erythrocytosis (an abnormal increase in the number of circulating red blood cells) and also increased production of granulocytes and platelets.
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A client comes into the Emergency Department with a non–life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families, and other people in the waiting room. The best way for the nurse to conduct an interview with this client is to:
A) Have the client wait until the department quiets down, since the wound is not too serious. B) Tell the client to wait in the waiting room and fill out the paperwork. C) Make sure the client sits with her back to the rest of the room so as not to be heard by passersby. D) Draw curtains around the client and nurse to provide as much privacy as possible.
A client comes into the health clinic asking for advice on lowering the individual's risk of heart disease. The nurse's best response is to:
1. Conduct a health history and physical exam to determine the client's area of risks and then educate the client based upon these findings. 2. Discuss the client's perceived area of health risks. 3. Determine the client's risks based upon a prior chart for the client. 4. Conduct a physical exam of the client and discuss the findings.
A nurse received a client from the PACU after a major bowel resection
The client was started on total parenteral nutrition with 40% glucose in the PACU. In the report, the PACU nurse instructs that the patient must be monitored for hyperglycemia. What are the manifestations of hyperglycemia? (Select all that apply.) a. Increased urine output b. Headache c. Dry mucous membranes d. Diaphoresis e. Lethargy f. Glycosuria g. Thirst
A patient with severe hypothermia is comatose with fixed dilated pupils, flaccid muscles, and ventricular fibrillation. Which body temperature should the nurse expect to assess in this patient?
a. 95.0 b. 90.0 c. 82.1 d. 80.6