The nurse is caring for a patient diagnosed with anemia. This morning's hematocrit level is 24%. Platelet level is 200,000/microliter. The nurse can expect to:
a. continue monitoring the patient, as this hematocrit is normal.
b. administer platelets to help control bleeding.
c. give fresh frozen plasma to decrease prothrombin time.
d. provide RBC transfusion because this level is below the normal threshold.
D
Transfusion thresholds are established based on laboratory values and patient-specific variables. In general, a threshold for RBC transfusion is considered a hematocrit of 28% to 31%, based on the patient's cardiovascular tolerance. If angina or orthostasis is present, a higher threshold may be maintained. The threshold for transfusing platelets is usually between 20,000 and 50,000/microliter. Cryoprecipitate is usually infused if the fibrinogen level is less than 100 mg/dL. Fresh frozen plasma is used to correct a prolonged prothrombin time and partial thromboplastin time or a specific factor deficiency.
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An older patient with multiple health problems asks the nurse for advice about recurrent insomnia. Which statement made by the nurse is most accurate?
A) "Caffeine obviously makes it hard for you to sleep, while a moderate amount of alcohol at bedtime is useful.". B) "You should try over-the-counter sleep aides for several weeks before you move on to prescription options.". C) "It's very normal for the quality of sleep to decrease with age, so this is usually a problem that requires accommodation rather than treatment.". D) "A lot of medications have the potential to interfere with sleep, so it would be useful to review your medications with your physician or a pharmacist.".
When the needs and characteristics of the patient clinical unit, or system, are matched with a nurse's competencies, _____ results
Fill in the blank(s) with correct word
The bioethical decision-making theory of deontology:
a. is concerned only with consequences. b. judges actions based on motive or intent. c. emphasizes treating others as a means to an end. d. cannot be applied to research.
Which of the following is NOT a part of the procedure for collecting a clean-catch specimen?
A) obtain antiseptic solution for cleansing purposes B) insert a sterile catheter C) cleanse the genital area D) catch the urine after the patient begins to void