A routine complete blood count indicates that an active 80-year-old man may have myelodysplastic syndrome. The nurse will plan to teach the patient about
a. blood transfusion
b. bone marrow biopsy.
c. filgrastim (Neupogen) administration.
d. erythropoietin (Epogen) administration.
ANS: B
Bone marrow biopsy is needed to make the diagnosis and determine the specific type of myelodysplastic syndrome. The other treatments may be necessary if there is progression of the myelodysplastic syndrome, but the initial action for this asymptomatic patient will be a bone marrow biopsy.
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A community health nurse gathers information about how individuals in a low-income neighborhood perceive the community and its state of health. Which of the following assessment strategies would be appropriate?
1) Conducting a windshield survey while driving 2) Reviewing a multitude of community databases 3) Interviewing residents living on every fifth block 4) Reviewing demographic data on the community
A nurse enters a client's room and finds the client's family fighting over what would be best for the client after discharge. When handling differences among family members, which action should the nurse encourage?
A) All members should bring up past incidents and use direct personal attack to get their point across. B) All members should avoid confrontation and work to smooth over disagreements. C) One member should surrender his or her position to preserve harmony in the family system. D) All members should respect differing opinions and use compromise and negotiation.
The nurse is unable to insert an intravenous access line into a client who is currently experiencing a seizure. Which of the following routes can the nurse use to provide medication to the client at this time?
1. Oral 2. Intranasal 3. Rectal 4. Intramuscular
Which statement is true about the antimanic pharmacological actions of lithium?
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