NRNP 6540 Advanced Practice Care Of Older Adults NEW 2023 GRADED A
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Course
MANAGEMENT C207
Institution
MANAGEMENT C207
NRNP 6540 Advanced Practice Care Of Older Adults NEW 2023 GRADED A+
What is the most important precaution to prevent harm that a nurse will teach a client who is prescribed to take the anticoagulant drug warfarin?
A. Apply an ice pack to any body area that you bump or otherwise injure to reduce ...
NRNP 6540 Advanced Practice Care Of Older
Adults NEW 2023 GRADED A+
1). What is the most important precaution to prevent harm that a nurse will teach a client who
is prescribed to take the anticoagulant drug warfarin?
a. apply an ice pack to any body area that you bump or otherwise injure to reduce bleeding
b. check with your primary health care provider before taking any vitamin supplements
c. always take your medication within an hour of the same time every day and never with
meals
d. avoid taking aspirin or any aspirin-containing product unless prescribed
Ans: D. Avoid taking aspirin or any aspirin-containing product unless prescribed
2). Which client history information is most relevant for the nurse to document when assessing
for a possible hematologic problem? (sata)
a. eats a vegan diet
b. participates in basketball twice weekly
c. mother has pernicious anemia
d. has a sister with down syndrome
e. sprays fertilizers and weed killers for a lawn care company
f. takes aspirin or nsaids occasionally for minor muscle pain
g. has used a vaping device instead of cigarette smoking for the past 2 years
Ans: A. Eats a vegan diet
C. Mother has pernicious anemia
E. Sprays fertilizers and weed killers for a lawn care company
3). When reviewing the laboratory results for a client in the emergency department, which
finding does the nurse report immediately to prevent harm?
a. international normalized ration (inr) of 5.2
b. platelet count of 180,000/mm3
c. hematocrit of 27% (0.27 volume fraction)
d. reticulocyte value of 4%
Ans: A. International normalized ration (INR) of 5.2
4). Which statement regarding erythrocytes is true?
a. reticulocytes represent the final stage of mature erythrocytes
b. the lack of a nucleus in a mature erythrocyte increases its lifespan
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, c. each erythrocyte can carry up to a maximum of four molecules of oxygen
d. the main trigger for erythrocyte production is the secretion of thrombopoietin
Ans: B. The lack of a nucleus in a mature erythrocyte increases its lifespan
5). Which response or health problem does the nurse expect to be present in a client who has a
lifelong deficiency of antithrombin iii?
a. chronic fatigue resulting from reduced production of normal hemoglobin
b. failure to produce and maintain normal circulating levels of platelets
c. prolonged bleeding and hematoma formation at sites of tissue injury
d. increased risk for clot formation and disruption of perfusion
Ans: D. Increased risk for clot formation and disruption of perfusion
6). Which precaution has the highest priority for prevention of harm when the nurse teaches
the client about home care after a bone marrow aspiration?
a. clean the suture line daily with soap and water
b. drink at least 4 l of fluid to ensure adequate hydration
c. avoid taking any aspirin or aspirin containing products
d. stay in bed and get up only to use the bathroom for the next 2 days
Ans: C. Avoid taking any aspirin or aspirin containing products
7). Which change in laboratory test results of a client with sickle cell disease who was started
on therapy with endari 2 months ago indicates to the nurse that the therapy is effective?
a. increased hbf from 2% to 10%
b. increased hba from 3% to 5%
c. decreased reticulocyte count from 12% to 4%
d. decreased white blood cells from 8200/mm3 to 7000/mm3
Ans: C. Decreased reticulocyte count from 12% to 4%
8). With which types of anemia does the nurse ask the client about the presence of the disorder
in other family members? (sata)
a. sickle cell anemia
b. folic acid deficiency anemia
c. glucose-6-phosphate dehydrogenase deficiency anemia
d. iron deficiency anemia
e. pernicious anemia
f. vitamin b12 deficiency anemia
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, Ans: A. Sickle cell anemia
C. Glucose-6-phosphate dehydrogenase deficiency anemia
E. Pernicious anemia
9). A client returning to the clinic 7 weeks after hematopoietic stem cell transplantation for
leukemia has a total white blood cell (wbc) count of 5200/mm3 and a neutrophil count of
3000/mm3. what is the nurse's priority action in view of these values?
a. notify the oncology health care provider immediately
b. assess the client for other symptoms of infection
c. document the laboratory report as the only action
d. obtain a urine specimen, sputum specimen, and chest x-ray
Ans: C. Document the laboratory report as the only action
10). The family of a client receiving a blood transfusion report with distress to the nurse that
although the blood bag hanging has the client's name on it, the bag label says b negative
and the client's blood type is b positive. what is the nurse's priority action?
a. alert the blood bank and rapid response team about a potential error
b. thank the family for being alert and preventing a serious complication
c. explain that a person who is rh positive can receive rh negative blood
d. immediately go and stop the infusion but keep the iv line open with normal saline
Ans: C. Explain that a person who is Rh positive can receive Rh negative blood
11). Which new symptoms in a client who is being managed for sickle cell crisis does the nurse
report immediately to prevent harm? (sata)
a. decreased handgrip strength on one side
b. diffuse abdominal pain
c. fever of 102.2f (39c)
d. increased urine output
e. shortness of breath
f. sore throat
Ans: A. Decreased handgrip strength on one side
C. Fever of 102.2F (39C)
E. Shortness of breath
12). Which intervention is a priority for the nurse to teach the client with polycythemia vera to
prevent harm related to injury as a result of impaired platelet function?
a. wear gloves and socks outdoors in cool weather
b. elevate your feet whenever you are seated
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