The nurse asks specific questions about alcohol consumption when collecting data about a patient's hematologic system. What rationale would the nurse offer for these questions?
1. Excessive alcohol intake accelerates phagocytosis.
2. People who consume excessive amounts of alcohol often have vitamin deficiencies.
3. People who drink alcohol do not clot as well as those who do not.
4. Moderate alcohol consumption can help to accelerate erythrocyte formation.
2
Rationale 1: Alcohol does not affect phagocytosis.
Rationale 2: Excessive alcohol use results in vitamin deficiencies and potentially GI damage that can suppress hematopoiesis.
Rationale 3: Alcohol does not dramatically affect clotting.
Rationale 4: Alcohol consumption does not affect erythrocyte formation.
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The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk?
a. 29-year-old woman whose waist measures 33 inches and hips measure 36 inches b. 32-year-old man whose waist measures 34 inches and hips measure 36 inches c. 38-year-old man whose waist measures 35 inches and hips measure 38 inches d. 46-year-old woman whose waist measures 30 inches and hips measure 38 inches
The nursing faculty member is observing a student taking a patient's carotid pulse. What action by the student requires intervention by the faculty member?
a. Counts pulse for 30 seconds and multiplies by two. b. Performs hand hygiene prior to patient contact. c. Compares pulses in both carotid arteries at the same time. d. Assesses pulse on one side then assesses the other side.
The nurse is assisting the healthcare provider with a bone marrow aspiration and biopsy on a client who has leukemia. The client also has thrombocytopenia. Upon completing of the test, which intervention is a priority for the nurse?
A) Dispose of the equipment used, and clean the area properly. B) Label and refrigerate the specimen obtained by the physician. C) Hold pressure on the wound for approximately 5 minutes. D) Make certain the client understands the purpose of the test.
A nurse is providing care for a patient who has psoriasis. The nurse is aware of the sequelae that can result from this health problem. Following the appearance of skin lesions, the nurse should prioritize what assessment?
A) Assessment of the patient's stool for evidence of intestinal sloughing B) Assessment of the patient's apical heart rate for dysrhythmias C) Assessment of the patient's joints for pain and decreased range of motion D) Assessment for cognitive changes resulting from neurologic lesions