A nurse is planning care for a client who has a Hgb of 7.5 and a Hct of 21.5. Which of the following should the nurse include in the plan of care? (Select all that apply.)
Provide assistance with ambulation.
Monitor oxygen saturation.
Weigh the client weekly.
Obtain stool specimen for occult blood.
Schedule daily rest periods.
A nurse is teaching a client who has a new prescription for ferrous sulfate (Feosol). Which of the following should be included in the teaching?
Stools will be dark red in color.
Take with a glass of milk if gastrointestinal distress occurs.
Foods high in vitamin C will promote absorption.
Take for 14 days.
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach cancer. Which of the following information should be included in the teaching? (Select all that apply.)
“You will need a monthly injection of vitamin B12 for the rest of your life.”
“Using the nasal spray form of vitamin B12 on a daily basis may be an option.”
“An oral supplement of vitamin B12 taken on a daily basis may be an option.”
“You should increase your intake of animal proteins, legumes, and dairy products to increase vitamin B12 in your diet.”
“Add soy milk fortified with vitamin B12 to your diet to decrease the risk of pernicious anemia.”
A nurse is completing an integumentary assessment of a client who has anemia. Which of the following is an expected finding?
Absent turgor
Spoon-shaped nails
Shiny, hairless legs
Yellow mucous membranes
A nurse in a clinic receives a phone call from a client seeking information about his new prescription for erythropoietin (Epogen). Which of the following information should be reviewed with the client?
The client needs an erythrocyte sedimentation rate (ESR) test weekly.
The client should have his hemoglobin checked twice a week.
Oxygen saturation levels should be monitored.
Folic acid production will increase.
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following indicates that the client’s clotting factors are becoming depleted? (Select all that apply.)
Platelets 100,000/mm³
Fibrinogen levels 97 mg/dL
Fibrin degradation products 4.3 mcg/mL
D-dimer 179 ng/mL
Sedimentation rate 38 mm/hr
A nurse is assessing a client and suspects the client is experiencing disseminated intravascular coagulation (DIC). Which of the following physical findings should the nurse anticipate?
Bradycardia
Hypertension
Epistaxis
Xerostomia
A nurse is caring for a client who has idiopathic thrombocytopenic purpura (ITP). The nurse should notify the provider and report possible small-vessel clotting when which of the following is assessed?
Petechiae on the upper chest
Hypotension
Cyanotic nail beds
Severe headache
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following medications should the nurse anticipate administering to the client?
Heparin
Vitamin K
Antibiotic
Antilipemic
