TI Med-Surg: Cardiovascular and Hematology
A
Questions
A nurse is admitting a client who is in sickle cell crisis. Besides pain management, which of the following
interventions should the nurse include in the client's plan of care?
A client who has pernicious anemia is deficient in vitamin B12 due to a deficiency in an intrinsic factor
normally supplied by the gastric mucosa that is essential for the absorption of vitamin B12.
, - A: Iron deficiency can be a result of blood loss, poor absorption or iron, or poor nutrition in the diet. This
condition is called iron-deficiency anemia.
- B: Hemolytic blood loss is a result of hemorrhage, not pernicious anemia
- C: Folic acid deficiency is caused by poor nutrition related to a lack of green leafy vegetables, citrus
fruits, and nuts in the diet. Folic acid is essential for the absorption of vitamin B12.
A nurse is providing discharge teaching to an adult female client who has infective endocarditis about
how to prevent recurrence. Which of the following statements by the client indicates an understanding of
the teaching?
A. I will ask my provider to change my contraception to an intrauterine device
B. I will notify my doctor before I have dental procedures
C. I will avoid using antiseptic mouthwash for oral care
D. I will wear a mask when I go out in public - CORRECT ANSWER-B. I will notify my doctor before I
have dental procedures
The client should notify the provider prior to invasive or dental procedures due to the need for
prophylactic antibiotic therapy to reduce the risk of a streptococcal infection.
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of
48,000/mm^3. Which of the following interventions should the nurse take?
A. Avoid IM injections
B. Assess the client for ecchymosis once per shift
C. Do not allow the client to have visitors
D. Encourage daily flossing between teeth - CORRECT ANSWER-A. Avoid IM injections
The client's platelet count of 48,000/mm^3 indicates thrombocytopenia; therefore, the nurse should avoid
invasive procedures such as an IM injection which can increase the client's risk of bleeding.
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