A patient being treated for cancer is diagnosed with anemia caused by blood loss. The nurse realizes that which of the following might be indicated for this patient?
1. blood transfusions to raise hemoglobin level to 10.0 g/dL
2. hematopoietic stem-cell transplantation
3. recombinant erythropoietin therapy
4. iron supplements
3
Rationale: Recombinant erythropoietin therapy, such as Procrit or Epogen, has been used for some time for treatment of blood loss anemia seen in some cancers. Blood transfusions might be indicated, however the hemoglobin level goal would be lower than 10.0 g/dL. Hematopoietic stem-cell transplantation is the definitive treatment for aplastic anemia, usually in younger patients. Iron supplements might be prescribed for iron-deficiency anemia.
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The nurse is caring for a patient who is being treated with quinine (Qualaquin) for drug-resistant malaria. The nurse will monitor the patient for cinchonism that will present with what manifestations?
A) Diarrhea, nausea, and fever B) Yellowing of the sclera and skin C) Tremors and ataxia D) Vomiting, tinnitus, and vertigo
A nurse is administering a cholinergic blocking drug preoperatively to a client. What intervention should the nurse perform after administering the drug to the client?
A) Provide cold milk to the client. B) Raise the side rails of the bed. C) Tell the client to lie completely flat in bed. D) Provide frequent sips of water.
You are caring for three clients who have the following blood count values: Client A has 24,500/mm3 white blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a 250,000/mm3 platelet count
Which statement correctly describes the condition of each client? A) Client A has a normal WBC count, client B has a higher hemoglobin count than normal, and client C has a normal platelet count. B) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count. C) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a higher platelet count than normal. D) Client A has a normal WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.
An occupational health nurse refers an employee to an employee assistance program. Which of the following problems would most likely be addressed?
a. Obesity b. Smoking c. Alcohol abuse d. Lack of exercise