Nokea
The nurse caring for a patient with pernicious anemia should make provisions for which intervention?
- A. frequent iced drinks.
- B. lightweight blanket.
- C. a fan to circulate the air.
- D. reverse isolation.
Correct Answer: B
Rationale: Persons with pernicious anemia are especially sensitive to cold. The provision of a light blanket is beneficial.
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The nurse explains to a patient with Non-Hodgkin's lymphoma that a positron emission tomography (PET) has been ordered for which reason?
- A. assess bone marrow depression.
- B. measure bone density.
- C. radiate and destroy diseased lymph nodes.
- D. determine the extent of possible metastasis.
Correct Answer: D
Rationale: The PET can aid in the staging of disease by determining the extent of any metastasis in the liver, lungs, or bones.
Erythropoiesis is the term referring to which process?
- A. Destruction of older red blood cells
- B. Lack of folic acid to create new red blood cells
- C. Releasing white blood cells in response to infection
- D. Production of new red blood cells in the bone marrow
Correct Answer: D
Rationale: Erythropoiesis is the term used to describe the production of new red blood cells in the bone marrow.
When the 14-year-old patient comes into the emergency room in sickle cell crisis, which should be the primary focus of care?
- A. Genetic counseling
- B. Applying ice packs
- C. Pain relief measures
- D. Providing iron replacements
Correct Answer: C
Rationale: Pain control during the crisis is the focus. Continuous opioids are the mainstay of pain management. Genetic counseling would not be appropriate during a crisis. Ice packs would constrict blood vessels, thus contributing to more pain. Iron replacement is not usually given with sickle cell anemia.
The nurse clarifies that ferrous replaces iron stores to treat iron deficiency anemia.
Correct Answer: sulfate
Rationale: Ferrous sulfate replaces iron stores needed to treat iron deficiency anemia.
When reinforcing instructions for the patient taking an oral liquid iron preparation, which should the nurse include?
- A. Information relative to taking the iron with milk
- B. Information relative to the bowel movement color changing to dark red
- C. Information relative to taking preparation through a straw to prevent staining of teeth
- D. Information relative to taking a drug with meals or a snack
Correct Answer: C
Rationale: Liquid iron preparations should be drunk through a straw to prevent tooth staining. All oral iron preparations should be taken before meals. Dairy products interfere with the absorption of iron.