RN Alterations in Hematologic Function

A client is being seen in the medical provider's office. Nurses' Notes Click to highlight the findings that indicate the client may be experiencing an intracranial hemorrhage. To deselect a finding, click on the finding again. Today: The client presents to the office today with report of increasing tiredness noted by spouse. The client awoke complaining of a headache and inability to make a fist. The client was incontinent of urine one time. The client's spouse also observed some slurred speech. Physical Exam: General: Pleasant, appears disheveled Respiratory: Lung fields are clear to auscultation Skin: Pale for ethnicity, warm, dry, and intact Cardiovascular: S1, S2, no murmur. Peripheral pulses palpable. Abdomen: Soft, nontender, bowel sounds present in all four quadrants. Neurological exam: Alert and oriented to person, place, and time. Speech is slurred. Grip demonstrates right arm weaker than left arm and right lower extremity weaker than left lower extremity. Sensation is intact bilaterally. Medications: Aspirin 81 mg daily prescribed during previous visit as antiplatelet therapy and lipid lowering medications. Vital Signs Today: Blood pressure 142/96 mm Hg Respiratory rate 20/min Heart rate 92/min Temperature 37.4° C (99.3° F) Oxygen saturation 95% on room air A nurse is caring for a male client in a medical provider's office. For each potential assessment finding, click to specify if the assessment findings is consistent with vitamin B12 deficiency or iron deficiency anemia. Each finding may support more than 1 disease process Dizziness: Vitamin B12 Deficiency, Iron Deficiency Anemia Shortness of breath: Vitamin B12 Deficiency, Iron Deficiency Anemia Headache: Vitamin B12 Deficiency, Iron Deficiency Anemia Fatigue: Vitamin B12 Deficiency, Iron Deficiency Anemia Pallor: Vitamin B12 Deficiency, Iron Deficiency Anemia Chest pain: Iron Deficiency Anemia Low hemoglobin: Iron Deficiency Anemia A nurse is caring for a female client in a medical provider's office. Complete the following sentence by using the lists of options. The client is most likely experiencing _____ as evidenced by the client's _____. The client is most likely experiencing Iron deficiency anemia as evidenced by the client's Decreased hemoglobin. A nurse is discussing thromboembolisms with a new nurse. The new nurse identifies thromboembolism as a cause of which of the following complications (Select all that apply.) Myocardial infarction Pulmonary embolism A nurse is caring for a client who has post-thrombotic syndrome. The client asks, "How is this syndrome different than a deep vein thrombosis?" Which of the following is an appropriate response for the nurse to make? "Post-thrombotic syndrome causes damage to the valves in the veins." A home health nurse is visiting a client who has acute lymphocytic leukemia. The client, while sitting in a chair quietly crying, states, "I just feel like I cannot do anything for myself anymore." Which of the following is an appropriate response for the nurse to make? "Can you tell me what makes you feel this way?" A client asks a nurse, "Why is high blood pressure dangerous?" Which of the following is an appropriate response for the nurse to make? "Having high blood pressure can weaken blood vessels and cause bleeding in the brain.