A nurse is providing discharge education to a patient who has undergone a
laparoscopic cholecystectomy. During the immediate recovery period, the nurse
should recommend what foods?
A)High-fiber foods
B)Low-purine, nutrient-dense foods
C)Low-fat foods high in proteins and carbohydrates
D)Foo...
A nurse is caring for a patient who has sickle cell anemia and the nurses
assessment reveals the possibility of substance abuse. What is the nurses most
appropriate action?
A)Encourage the patient to rely on complementary and alternative therapies.
B)Encourage the patient to seek care from a single provider for pain relief.
C)Teach the patient to accept chronic pain as an inevitable aspect of the
disease.
D)Limit the reporting of emergency department visits to the primary health
care provider.
✓~ B - The patient should be encouraged to use a single primary health care
provider to address health care concerns. Emergency department visits
should be reported to the primary health care provider to achieve optimal
management of 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.
,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 of platelets.
C)There could be impaired communication between platelets.
D)There could be an autoimmune process causing platelet malfunction.
✓~ B - Thrombocytopenia can result from a decreased platelet production,
increased platelet destruction, or increased consumption of platelets. Impaired
platelet communication, antibodies, and autoimmune processes are not
typical pathologies.
A critical care nurse is caring for a patient with autoimmune hemolytic anemia.
The patient is not responding to conservative treatments, and his condition is
now becoming life 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
✓~ D - A splenectomy may be the course of treatment if autoimmune hemolytic
anemia does not respond to conservative treatment. Vitamin K administration
is treatment for vitamin K deficiency and does not resolve anemia. Platelet
transfusion may be the course of treatment for some bleeding disorders.
Hepatectomy would not help the patient.
A nurse is providing education to a patient with iron deficiency anemia who has
been prescribed iron supplements. What should the nurse include in health
education?
A)Take the iron with dairy products to enhance absorption.
B)Increase the intake of vitamin E to enhance absorption.
C)Iron will cause the stools to darken in color.
D)Limit foods high in fiber due to the risk for diarrhea.
✓~ C - The nurse will inform the patient that iron will cause the stools to become
dark in color. Iron should be taken on an empty stomach, as its absorption is
affected by food, especially dairy products. Patients should be instructed to
increase their intake of vitamin C to enhance iron absorption. Foods high in
fiber should be consumed to minimize problems with constipation, a common
side effect associated with iron therapy.
, The nurse is assessing a new patient with complaints of overwhelming fatigue
and a sore tongue that is visibly smooth and beefy red. This patient is
demonstrating signs and symptoms associated with what form of what
hematologic disorder?
A)Sickle cell anemia
B)Hemophilia
C)Megaloblastic anemia
D)Thrombocytopenia
✓~ C - A red, smooth, sore tongue is a symptom associated with megaloblastic
anemia. Sickle cell disease, hemophilia, and thrombocytopenia do not have
symptoms involving the tongue.
A patient with renal failure has decreased erythropoietin production. Upon
analysis of the patients complete blood count, the nurse will expect which of the
following results?
A)An increased hemoglobin and decreased hematocrit
B)A decreased hemoglobin and hematocrit
C)A decreased mean corpuscular volume (MCV) and red cell distribution width
(RDW)
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