A patient is admitted to the hospital with hypertension and vertigo related to polycythemia vera (PV). For which treatment should the nurse prepare the patient?
a. Myelogram
b. Splenectomy
c. Therapeutic phlebotomy
d. Injection of colony-stimulating factors
ANS: C
Phlebotomy reduces the RBCs and viscosity of the blood and the patient usually feels more comfortable quickly. D. Colony-stimulating factors would stimulate more cell production, which would worsen symptoms. A. B. Splenectomy and myelogram are not treatments associated with PV.
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