Exam 29: Alterations in Red Blood Cell Function and Hemostasis

A patient arrives at the emergency department following a gunshot wound to the abdomen.He is unresponsive and has cool,clammy skin.Paramedics were unable to initiate a peripheral IV and the patient's abdominal wound is bleeding briskly.The nurse bases emergency interventions on which priority patient problems? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient being treated for thrombocytopenia is not responding to therapy.The nurse would begin to prepare the patient for which medical intervention?

A critically ill patient is diagnosed with disseminated intravascular coagulation (DIC).Which history would the nurse evaluate as indicating increased risk for this development?

A patient with thrombocytopenia has developed a nosebleed.She is confused and keeps trying to get out of bed.Which problem is this patient demonstrating?

The nurse is caring for a patient with acute disseminated intravascular coagulation (DIC)who is bleeding from the gastrointestinal tract with a platelet count of 45,000.The nurse would anticipate which intervention for this patient?

A patient is admitted with the tentative diagnosis of polycythemia vera.Which assessment findings would the nurse evaluate as supporting that diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is providing care for a patient diagnosed with secondary polycythemia.Which finding is most significant for the nurse to discuss with the primary healthcare provider immediately?

A patient with sickle cell disease tells the nurse that she knows when the disease is going to flare because she has pain in her arms and legs.Which explanation would the nurse provide?

The nurse is making a follow-up call to a patient recently released from the acute care unit following treatment for thrombocytopenia.Which patient statements would the nurse consider reason to suggest contacting the primary health provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is providing care for a young woman diagnosed with idiopathic thrombocytopenia.Which information should the nurse provide?

A patient has been admitted with a tentative diagnosis of thrombocytopenia.Which patient statement would the nurse evaluate as significant to that disorder?

A 25-year-old patient with sickle cell disease says,"My sister is having a baby.I can't wait until I have kids of my own." Which nursing response is indicated?

A patient has been brought to the emergency department after a traumatic amputation of his leg.His skin is pale and very cool,heart rate is 120,respirations are 28,and systolic blood pressure is dropping.From these findings the nurse would estimate that this patient has lost which percent of blood?

A patient with rheumatoid arthritis has a hemoglobin level of 10 g/dL.The nurse would consider this anemia to be related to inflammation if which other findings are present? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient with a 40-pack per year smoking history has increased hemoglobin and hematocrit.The nurse expects that which test will be done to assess for erythrocytosis?

A critically ill patient who is being mechanically ventilated was started on an antibiotic,a steroid,and intravenous heparin one week ago.This morning the nurse notes the patient has red rashlike eruptions across his abdomen and chest.What nursing action is indicated?

A female patient diagnosed with acute renal failure has a hemoglobin level of 12 mg/dL.The nurse plans care for a patient with which level of anemia?

The nurse is planning to instruct a patient with sickle cell disease on ways to avoid a painful crisis.What should the nurse include in this instruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient has developed disseminated intravascular coagulation (DIC).Which assessment would the nurse evaluate as reflecting the microthrombosis results of this disorder?

A patient receiving chemotherapy for cancer is diagnosed with anemia secondary to bone marrow depression.The nurse would expect which intervention?