The nurse is assessing a patient with polycythemia vera. Which finding is consistent with this disorder?
a. Pallor
b. Blood pressure (BP) of 100/60
c. Hemoglobin of 17 mg/dL
d. Agitation
Ans: c. Hemoglobin of 17 mg/dL
Explanation: A patient with polycythemia vera will have high hemoglobin and hematocrit related to the large number of RBCs. The complexion is ruddy with blue lips; there is fatigue and weakness and high BP.
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An elderly patient who is scheduled for a computed tomography (CT) scan of her abdomen has admitted to the nursing student that she is deeply fearful of having this test because of her fear of pain
Which of the following responses demonstrates a communication block? A) "What part of having a CT scan makes you most fearful?" B) "You'll find that there's actually no pain involved with this test." C) "There, there. You have nothing to be afraid of." D) "It can be frightening to undergo medical tests."
A woman suffering from severe vasomotor menopausal symptoms wants to use complementary or alternative therapies instead of hormone therapy. What advice by the nurse is best?
A. "Acupuncture has been shown to work better than other body therapies." B. "Herbs are a great option as they do not typically have side effects." C. "Mind-body, manipulative, or traditional Chinese medicine are safer than herbs." D. "Research shows that black cohosh significantly reduces hot flashes."
A nurse is caring for a patient during radiofrequency ablation. What nursing interventions would most likely put the patient at ease?
A) Communicating with the patient about the progress of the procedure B) Connecting the patient to a cardiac monitor C) Placing a lead apron under the patient's lower back D) Establishing a sterile field
A patient is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the patient develops fine blisters, papules, and severe itching
The nurse knows that this is indicative of what strength reaction? A) Weak positive B) Moderately positive C) Strong positive D) Severely positive