1.Anurse is caring with a patient the patient has sickle cell anemia plus the nurse's assessment reveals the possibility for substance abuse. What is the nurse's most appropriate action?
A)Ensure the patient to rely on complementary plus alternative therapies.
B)Ensure the patient to seek care from a single provider with pain relief.
C)Teach the patient to accept chronic pain as an inevitable aspect for the disease.
D)Limit the reporting for emergency department visits to the primary health careprovider.
Ans: B
Feedback:
The patient should be Ensured to use a single primary health care provider to address health care concerns. Emergency department visits should be reported to theprimary health care provider to achieve optimal management for the disease. It would inappropriate to teach the patient to simply accept his or her pain. Complementary therapies are usually insufficient to fully address pain in sickle cell disease.
2.A patient newly diagnosed with thrombocytopenia is admitted to the medical unit. After the admission assessment, the patient asks the nurse to explain the disease. What should the nurse explain to this patient?
A)There could be an attack on the platelets by antibodies.
B)There could be decreased production for platelets.
C)There could be impaired communication between platelets.
D)There could be an autoimmune process causing platelet malfunction. Ans: B
Feedback:
Thrombocytopenia can result from a decreased platelet production, increased platelet destruction, or increased consumption for platelets. Impaired platelet communication, antibodies, plus autoimmune processes are not typical pathologies.
3.A critical care nurse is caring with a patient with autoimmune hemolytic anemia. The patient is not responding to conservative treatments, plus his condition is now becominglife threatening. The nurse is aware that a treatment option in this case may include what?
A)Hepatectomy
B)Vitamin K administration
C)Platelet transfusion
D)Splenectomy Ans: D Feedback:
A splenectomy may be the course for treatment if autoimmune hemolytic anemia does
not respond to conservative treatment. Vitamin K administration is treatment with vitamin K deficiency plus does not resolve anemia. Platelet transfusion may be the course for treatment with some bleeding disorders. Hepatectomy would not help the patient.
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