A patient is admitted to the emergency department with a diagnosis of polycythemia vera (PV). Which treatment should the nurse discuss with the patient?
a. Therapeutic phlebotomy
b. Restoration of blood volume by plasma expanders
c. Administration of packed red blood cells
d. Iron replacement therapy
ANS: A
Treatment of PV is phlebotomy to reduce red cell mass and blood volume; increasing blood volume will increase symptoms as will the administration of additional cells and iron replacement therapy.
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The nurse assesses a patient in a Posey safety reminder device (SRD) for which problem(s) that may increase because of use of SRDs? (Select all that apply.)
a. Immobility b. Restlessness c. Risk for impaired circulation d. Risk for skin impairment e. Incontinence
The unionized registered nurses employed at a local hospital agree that management has violated their rights. The nurses meet with their bargaining agent, who agrees that the contract has been violated
The agent files a formal complaint, which is known as a(n) ____. a. Accusation b. Grievance c. Objection d. Unfair labor protest
Touch is one of the most important communicative behaviors that nurses use; however, nurses must keep in mind which of the following facts before using touch?
a. Everyone likes to be touched, but most prefer a light touch on the upper body. b. Touch can have many different meanings to different children and their families. c. Touch needs to be used very sparingly and only then necessary and asked for. d. The opposite gender almost always interprets touch as having a sexual meaning.
The nurse is developing a plan of care for a client with anxiety. What are appropriate nursing interventions the nurse can use for assisting the client in reducing anxiety? Select all that apply
a. Assist the client to identify triggers and situations that create anxiety. b. Be vague in answering questions because you can't know how the client will react. c. Develop coping strategies and behavior modification techniques with the client. d. Remind the patient that he must not engage in any negative thinking.