Which nursing intervention should be included in the plan of care for a patient with polycythemia vera?
A) Explain the process of blood transfusion to the patient.
B) Administer anticoagulants.
C) Place the patient on a fluid restriction.
D) Assess for hypotension.
B) Administer anticoagulants.
Explanation: A) Therapeutic erythropheresis is removal of blood from the patient (also known as blood-letting) is often employed to reduce the number of red blood cells and to dilute the concentration within the bloodstream. Therefore, administering a blood transfusion would not be appropriate.
B) Treatment of polycythemia vera involves the use of anticoagulation to prevent the development of thrombi.
C) Because a goal of therapy in polycythemia vera is to dilute the concentrated blood, the client should not be placed on a fluid restriction, as this this would cause dehydration and an increase in the hematocrit.
D) Because of the increased blood volume associated with polycythemia vera, the increased preload can manifest as hypertension.
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