The nurse cautions the 79-year-old male who had a gastrectomy a month ago that he is at risk for _____ anemia
a. aplastic
b. pernicious
c. iron deficiency
d. nutritional
B
Pernicious anemia will result from the lack of the intrinsic factor found in the stomach lining. Without the intrinsic factor, the body is unable to absorb vitamin B12 . Aplastic anemia is related to bone marrow suppression. Iron deficiency anemia is often related to a deficiency of iron in the diet.
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Mr. B has lost 3 kg over the last several days. His skin is dry, heart rate and respirations are elevated, blood pressure is low with an orthostatic drop, urine output is 15 cc/hr, and hematocrit is 55%. His signs and symptoms are characteristic of
A) hypervolemia. B) hypokalemia. C) hypovolemia. D) hypercalcemia.
The nurse conducting a support group for clients undergoing cancer treatment will use interventions
that (more than one option may be correct) A. confront ingrained behaviors and defenses. B. foster controlled expression of feelings. C. teach stress management techniques. D. show acceptance and empathy. E. provide psychoeducation. F. encourage mutual support.
The ethics committee is reviewing a case in which there are broad social issues in question. Which model is likely to be of best use to the ethics committee reviewing the case?
1. Autonomy 2. Patient benefit 3. Social justice 4. Patient justice
What technique should the nurse use to assess the point of maximal impulse (PMI)?
A. With the client in a supine position at a 45-degree angle, compress the upper right abdomen for 30 to 40 seconds and observe for neck vein distention. B. Measure the blood pressure in both upper arms. The arm with the highest pressure should be used for blood pressure measurement thereafter. C. Apply the bell of the stethoscope over the skin of the carotid artery while the client holds his or her breath. D. With the client in the supine position, inspect the chest for prominent precordial pulsations.