A patient with chronic renal failure receives hemodialysis treatments 3 days a week. Every 2 weeks, the patient requires a transfusion of 1 or 2 U of packed red blood cells
What is the probable reason for this patient's frequent transfusion needs? a. Too much blood phlebotomized for tests
b. Increased destruction of red blood cells because of the increased toxin levels
c. Lack of production of erythropoietin to stimulate red blood cell formation
d. Fluid retention causing hemodilution
C
In chronic renal failure, the kidneys do not produce sufficient amounts of erythropoietin in response to normal stimuli such as anemia or hypotension. The other choices are not reasons for frequent blood transfusions in this patient.
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A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?
a. Assess the cause of the agitation. b. Reassure the client that he or she is safe. c. Restrain the client's hands. d. Sedate the client immediately.
A nurse manager enters the staff break room. The manager overhears the nursing staff discussing wages and paid time off as issues to consider during the bargaining process. Which action by the manager would be appropriate?
1. Leave the break room and not discuss with others what was heard. 2. Inform staff they are not to talk about their bargaining issues during work time or at the work site. 3. Issue a written warning regarding discussion of wages while on the job. 4. Tell nursing administration that a strike is likely.
A nurse is providing guidance to a group of parents of children in the infant-to-preschool age group
After reviewing statistics on the most common cause of death in this age group, the nurse includes information about prevention of which of the following? 1. Cancer by reducing the use of pesticides in the home 2. Accidental injury by reducing the risk of pool and traffic accidents 3. Heart disease by incorporating heart-healthy foods into the child's diet 4. Pneumonia by providing a diet high in vitamin C from fruits and vegetables
A couple discusses their childbirth preparation options with the nurse. They want the father to be actively involved, and for the expectant mother to avoid medications during the birthing process. What is the nurse's best response?
A. "The hospital will follow your wishes." B. "The Leboyer method will provide what you want." C. "The Bradley method will meet your needs." D. "The Lamaze method will be easy to follow."