A patient is admitted to the hospital with hypertension and vertigo related to polycythemia vera. For which of the following treatments should the nurse prepare the patient?
a. Injection of colony-stimulating factors
b. Therapeutic phlebotomy
c. Splenectomy
d. Myelogram
ANS: B
Phlebotomy reduces the red blood cells (RBCs) and viscosity of the blood, and the patient usually feels more comfortable quickly. Colony-stimulating factors would stimulate more cell production, which would worsen symptoms. Splenectomy and myelogram are not treatments associated with polycythemia vera.
You might also like to view...
A patient is receiving an IV infusion of lactated Ringer's solution and 40 mEq of KCl at 100 mL/hr. When assessing the IV site, the nurse notes swelling, erythema, and warmth. There is a palpable cord along the vein, and the infusion is sluggish
The patient is complaining of pain at the site. The nurse would recognize these findings to be consistent with which of the following? a. Infiltration b. Extravasation c. Hematoma d. Phlebitis
What is the most important role of the health care worker in preventing drug errors?
a. Always checking the patient's diagnosis before giving a drug b. Always following the "eight rights" of drug administration c. Being the one defense for detecting and preventing drug errors d. Being most likely to detect a drug error that has occurred
The nurse administers intravenous magnesium sulfate to a client being treated for refractory ventricular fibrillation. The client is experiencing symptoms of deep tendon reflex impairment. The nurse interprets this as being indicative of:
a. magnesium toxicity. b. hypomagnesemia. c. expected side effect of the drug. d. anaphylactic reaction.
The nurse is discharging a teenage patient after hospitalization for Pelvic Inflammatory Disease. Identify the statement that would indicate that the teaching was not effective
1. "I might have infertility later in life because of this infection." 2. "It is important for me to finish my antibiotics." 3. "When I get older and want to have children, I am at a higher risk for a tubal pregnancy because of the PID." 4. "My PID was caused by a yeast infection."