The nurse is aware that the situation that would warrant administration of iron supplements to a client with pernicious anemia is
a. poor appetite.
b. increase in the total erythrocyte count in the peripheral circulation.
c. discrepancy between hemoglobin and erythrocyte levels.
d. paresthesia in the fingers.
C
Treatment of pernicious anemia first focuses on increasing hemoglobin level with cobalamin (vitamin B12). This will raise total RBC counts. However, sometimes the hemoglobin level fails to rise in proportion to an increased RBC count, either because the rapid regeneration of RBCs depletes iron stores, or because iron deficiency may be a part of the etiology of pernicious anemia. The client may need oral iron supplementation if the hemoglobin level fails to rise in proportion to an increased RBC count.
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The nurse notices that a 5-month-old patient is having difficulty breathing, with nasal flaring, audible grunting, and sternal and intercostal retractions. The infant's respiratory rate is rapid, and the infant is restless and obtunded
What intervention should the nurse implement first? A) Position the baby with head in a neutral midline position and apply the jaw-thrust maneuver. B) Facilitate administration of an inhaled bronchodilator. C) Administer intravenous sedation or pain medication. D) Ask the parent to use comforting measures for the infant.
The vice president for nursing services of a large teaching hospital has been aware that many of the problems in the nursing staff result from poor management at the unit level
What are reasons that nurse managers are sometimes ineffective in their role? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is little training available for nurse management positions. 2. Entry-level educational programs for nurses do not contain sufficient managerial content. 3. Management techniques are often learned "on the job." 4. Nurses are not good managers. 5. Nurses often experience poor supervision in their own careers.
A patient is brought into the emergency department after an exposure that at first was believed to be to a nerve gas, but further assessment shows the symptoms are the opposite of those found with nerve gas exposure
The nurse now suspects the patient was most likely exposed to: 1. Incapacitating agents. 2. Irritants. 3. Blood agents. 4. Asphyxiates.
The supervisor suggested the nurse use a contract to confirm goals and plans with the elderly man who had recently moved into a self-care halfway house. What is the advantage of such a contract?
A. Documents the cost of each nursing service. B. Is a very protective document if the client ever sued the nurse for malpractice. C. Is legally binding on both parties. D. Will clarify who will do what, when, where, and why.