The nurse is assessing a patient being admitted with complaints of fatigue and shortness of breath as well as abdominal tenderness
The nurse notes that the patient is jaundiced; the physical examination reports an enlarged liver The nurse suspects that the patient has a. aplastic anemia.
b. hemolytic anemia.
c. sickle cell anemia.
d. anemia due to acute blood loss.
B
Assessment of the patient with hemolytic anemia may reveal jaundice, abdominal pain, and enlargement of the spleen or liver. These findings result from the increased destruction of RBCs, their sequestration (abnormal distribution in the spleen and liver), and the accumulation of breakdown products. The patient with aplastic anemia may have bruising, nosebleeds, petechiae, and a decreased ability to fight infections. These effects result from thrombocytopenia and decreased WBC counts, which occur when the bone marrow fails to produce blood cells. Patients with sickle cell anemia may have joint swelling or pain, and delayed physical and sexual development. Decreased circulating volume is manifested by clinical findings reflective of low blood volume (e.g., low right atrial pressure) and the effects of gravity on the lack of volume (e.g., orthostasis).
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The nurse takes many actions in managing a client's pain. Actions that might be effective in relieving the emotional component of a client's pain include: Standard Text: Select all that apply
1. Allowing the client to talk about his pain. 2. Telling the client that it isn't yet time for medication. 3. Providing information. 4. Providing distraction. 5. Promptly attending to the client's needs.
The nurse is caring for a client who requires frequent repositioning, and determines that proper alignment is obtained when which of the following is achieved?
1. There is little strain on the musculoskeletal system. 2. The client is in a supine position. 3. The client says she is properly aligned. 4. There are pillows under all extremities.
Prior to administering a prescribed drug, the nurse correctly identifies the client by which method? Select all that apply
A) Checking a client's name on his or her wristband B) Checking a client's chart C) Asking the client to identify himself or herself and give his or her birth date D) Asking a client if he or she is the correct client E) Using a current picture of the client if available
Mrs. Jones brings her infant son in for a routine physical examination. She asks you, as the examiner, the age at which infants usually develop the ability to distinguish color
You explain that infants are first able to distinguish color at the age of _______ months. Fill in the blank(s) with correct word