A patient with rheumatoid arthritis has a hemoglobin level of 10.0 g/dL. Which of the following types of anemia is this patient most likely experiencing?
1. decreased red blood cell production
2. inflammation
3. increased red blood cell destruction
4. increased blood loss
2
Rationale: Anemia of inflammation is believed to exist worldwide in individuals with chronic inflammation and infections. Inflammatory anemia is seen in inflammatory bowel disease, rheumatoid arthritis, and systemic inflammatory response syndrome. Anemia caused by decreased red blood cell production results from an inadequate intake of iron, minerals, vitamin B12, and folic acid. This type of anemia is not associated with rheumatoid arthritis. Anemia caused by increased red blood cell destruction can occur from congenital or acquired problems and is not typically associated with rheumatoid arthritis. Anemia from increased blood loss can occur with any type of life-threatening health problem.
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The school nurse is observing a young child who has episodes of rage toward peers during recess and at lunchtime. The advantage of conducting an assessment in this environment is:
1. This will assist in identifying the bullies who trigger the explosive episodes. 2. This provides an opportunity to collect data in the event that other children are injured and legal documentation is needed. 3. To provide data for the parents who are in denial about the problem. 4. This provides a picture of problems and strengths in a realistic context.
The manager has just terminated a nurse. What statement by the manager is appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "You may go back to the unit to say good-bye to your coworkers." 2. "We have cleaned out your locker and have your personal belongings ready for you." 3. "I have notified security to escort you as you leave the building." 4. "As of this time, you are no longer an employee of this institution." 5. "Please do not discuss your termination with any other nurses."
Order: 1000 mL D10LR in 12 hours How many kcal will the client receive? _____
a. 100 b. 400 c. 800 d. 900
The nurse has received morning lab work on a client with chronic renal disease. Which finding indicates renal disease?
A) Urine pH of 6.5 B) Urine nitrate: negative C) Protein level of 400 mg/dL D) Specific gravity: 1.002