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A pt w/ ESRD is taking recombinant erythropoietin for the
treatment of anemia.
What lab study does the nurse determine will have to be
assessed at least
monthly related to this medication? - ANSWER-
hemoglobin level
A pt had a gastric bypass surgery 3 years ago and now,
experiencing fatigue,
visits the clinic to determine the cause. The pt takes
pantoprazole for the
treatment of frequent heartburn. What type of anemia is this
pt at risk for? -
ANSWER-Pernicious
anemia
Pernicious anemia is a decrease in RBCs when the body can't
absorb enough
_________________ due to the lack of intrinsic factor (IF)
in the gastric
,mucosa. - ANSWER-
vitamin B-12
The nurse is preparing the pt for a test to determine the cause
of vitamin B12 deficiency. The pt will receive a small oral dose
of radioactive vitamin B12 followed by a large parenteral dose
of nonradioactive dose of B12. What test is the pt being
prepared for? - ANSWER-Schilling test
Which pt does the nurse recognize as being most likely to be
affected by sickle
cell
disease
a. 14 y/o African
American boy
b. 26 y/o easter European jewish
woman
c. 18 y/o Chinese
woman
d. 28 y/o Israeli man - ANSWER-a. 14 y/o African
American boy
a pt w/ sickle cell disease is brought to the ED by a parent. The
pt has a fever of 101.6 F, HR 116, and RR 32. The nurse
auscultates bilateral wheezes in both lung fields. What does the
nurse suspect this pt is experiencing? – ANSWER-Acute chest
syndrome
, What condition may be the result of sickling in the small
blood vessels in the
lungs? - ANSWER-acute chest
syndrome
A pt w/ sickle cell disease is to begin treatment with
hydroxyurea. What does the nurse inform the pt will be the
benefits of treatment with this medication?
(select all that apply) - ANSWER-- fewer episodes of sickle cell
crisis
- less incidence of acute chest syndrome
- decreased need for blood transfusions
A pt is taking prednisone 60 mg per day for the treatment of an
acute exacerbation of Crohn's disease. The pt has developed
lymphopenia with a ;lymphocyte count of < 1500. What should
the nurse monitor the client for? - ANSWER-onset of bacterial
infection
A pt w/ sickle cell disease comes to the ED reporting severe
pain in the back, right hip, and right arm. What intervention is
important for the nurse to provide? - ANSWER-Start an IV with
dextrose 5% in 0.24 normal saline
Diabetes is the leading cause of.... - ANSWER--
amputation
-
blindness