An older patient is diagnosed with polycythemia vera. What care will this patient most likely be prescribed? Standard Text: Select all that apply
1. Ticlopidine
2. Splenectomy
3. Hydroxyurea
4. Chemotherapy
5. Periodic phlebotomy
3,5
Rationale: Ticlopidine is a potent inhibitor of platelet aggregation but is used in prevention of stroke and heart attack.
Rationale 2: Splenectomy is not indicated in the treatment of polycythemia vera.
Rationale 3: In polycythemia vera, hydroxyurea can decrease the risk of thrombosis.
Rationale 4: Chemotherapy is not indicated in the treatment of polycythemia vera.
Rationale 5: Periodic phlebotomy significantly decreases the risk of thrombosis.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6. Identify and prioritize appropriate nursing interventions to care for the older person with hematologic problems.
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