A patient has been admitted for treatment of hemolytic anemia
Which assessment findings would the nurse immediately discuss with the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Decreased amounts of very dark urine
2. Jaundice
3. Bradycardia
4. Liver palpated below the right costal margin
5. Itching
1,3
Rationale 1: Decreased, concentrated urine is an indicator of renal failure associated with hemolytic anemia. The health care provider should be contacted immediately about this finding.
Rationale 2: As the red blood cells are hemolyzed, bilirubin is released, resulting in jaundice. Jaundice is an expected condition in hemolytic anemia.
Rationale 3: The expected cardiac effect of anemia is tachycardia. If the patient becomes bradycardic, the health care provider should be contacted immediately.
Rationale 4: Enlargement of the liver is an indicator of persistent hemolysis and will likely be present when the patient is first admitted.
Rationale 5: Itching is caused by the increased bilirubin in the skin. This is not an emergent condition.
You might also like to view...
The nurse is providing education to a client who wants to quit smoking. Which statements are appropriate for the nurse to include in the teaching session with this client? Select all that apply
A) "There is no adverse risk if the client chooses to smoke while wearing a nicotine patch." B) "Bupropion (Zyban) is used to suppress the craving for tobacco." C) "A piece of nicotine gum should be chewed for 5 minutes of every waking hour then held in the cheek." D) "Most persons quit smoking several times before they are successful." E) "Alternative therapies should be considered to help reduce the stress that accompanies smoking cessation."
Which nursing intervention would the nurse employ to help reduce group resistance?
a. Review accepted guidelines in the group's orientation stage. b. Make group acceptance criteria as nonrestricting as possible. c. Employ pretesting and posttesting regarding each session topic. d. Avoid personal consequences for member absenteeism and tardiness.
A medicated IVPB 30 mL is ordered to be infused over 60 minutes. What flow rate will the nurse set on the EID in mL per hr?
What will be an ideal response?
You are securing a dressing with tape. Where do you apply the tape?
a. Around the entire body part b. To the top and bottom of the dressing c. To the top, sides, and bottom of the dressing d. To the middle of the dressing