A 35-year-old man is examined in an urgent care clinic. His presenting symptoms suggest polycythemia vera. Which extreme laboratory value would confirm this possible diagnosis?
a. High hemoglobin level
b. Low white cell count
c. Low platelet count
d. High iron level
A
The symptoms of polycythemia vera are extremely high hemoglobin and hematocrit values be-cause of the excessive production of red blood cells. Patients with polycythemia vera have 1 pint of blood taken from them until the blood values become more normal. The blood is collected as it would be for a blood donation, but it cannot be used for transfusion purposes.
You might also like to view...
The nurse is assessing a 4-year-old child with a possible alteration in mental health. Which of the following could indicate such an alteration? Select all that apply
1. Eye contact 2. Appearance 3. Facial expressions 4. Head circumference 5. History of prenatal care and delivery
A community health nurse is contracting with a client receiving services in the home. The nurse and client are negotiating the activities for which each will be responsible. This activity would correlate to which phase of the nursing process?
A) Assessment B) Nursing diagnosis C) Planning D) Evaluation
A patient is experiencing a severe episode of Ménière disease. Which medication should the nurse expect to be prescribed to help reduce the sensation of spinning and nausea occurring in this patient?
1. meclizine hydrochloride (Antivert) 2. hydrochlorothiazide (HydroDIURIL) 3. diazepam (Valium) 4. droperidol (Inapsine)
A patient is suspected of having sprue. Which instruction should the nurse provide this patient about diet?
1. Avoid all milk products. 2. A vegetarian diet is the best treatment for this condition. 3. Gluten products must be eliminated from the diet. 4. All whey products must be eliminated from the diet.