Which laboratory finding in a client with polycythemia vera indicates that phlebotomy alone is no longer effective in managing this problem?
A. Hematocrit has increased from 55% to 75%
B. Hemoglobin A1c has decreased from 8.0% to 7.0%
C. Platelet count has increased from 120,000 to 150,000
D. Segmented neutrophils outnumber the band neutrophils.
A
Phlebotomy reduces the percentage of circulating red blood cells. When the client's hematocrit increases during a regimen of phlebotomy, the reduction of red blood cells by phlebotomy is not able to keep pace with the bone marrow production of red blood cells.
You might also like to view...
The nurse is caring for an adult patient who has gone into ventricular fibrillation. When assisting with defibrillating the patient, what must the nurse do?
A) Maintain firm contact between paddles and patient skin. B) Apply a layer of water as a conducting agent. C) Call "all clear" once before discharging the defibrillator. D) Ensure the defibrillator is in the sync mode.
The nurse is teaching a patient about home administration of insulin to treat diabetes mellitus. As part of the teaching, the patient and nurse identify goals to maintain specific blood glucose ranges
This represents which aspect of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning
What is the established frequency of repeating DEXA imaging after stating bisphosphonates?
1. Every 2 years 2. Every 5 years 3. There is no evidence-based time line for monitoring after the first 2 years 4. There need to be annual exams
________ is useful as a skin cleanser despite its weak activity against gram-negative bacteria.
A. Hexachlorophene B. Povidone-iodine C. Hydrogen peroxide D. Chlorhexidine