Blood
Your client has thrombocytopenia with platelets less than 18,000. Initiate bleeding precautions (4)
No rectal temps, Use electric razor for shaving,
Hold pressure on any bleeding for 5 to 10 minutes, Do not strain during bowel movements
Neutropenic precautions include?
No fresh fruits, No fresh vegetables, No fresh flowers
Client with pernicious anemia will require
Cobalamin (B12) injections
Your renal failure patient has a hemoglobin of 8.1. Anticipate giving
Erythropoietin
Your post-gastric bypass patient has a K+ level of 3.0. requires immediate care and cardiac monitoring. Anticipate finding what condition
Dumping syndrome
Thrombocytopenia plan of care: monitor for?
Blood in urine and stool. Lethargy on assessment
Lab result indicating anemia treated with PRBC's was successful
Increase in Hemoglobin
Client with aplastic anemia (decrease of ALL blood cells) plan of care should include
Use a soft bristle toothbrush
Use electric razor
Constant pulse ox monitoring
Check temp q4 hours
Patient presents to ED vomiting bright red blood. Your first action is to
Obtain vital signs
Your patient had a Roux-en-Y gastric bypass surgery. Anticipate these orders
Administer sub-Q heparin
Head of bed 30-45 degrees
High protein liquid diet
Drink fluids before OR after meals
A treatment for polycythemia vera is?
Phlebotomy (300 to 500 ml) as it drops hematocrit level
Plan of care for client with hemoglobin of 6 should include
Alternate periods of rest and activity
Plan of care for safe administration of blood includes
Baseline vital signs
Lung sounds
Y-type tubing set
set pump to deliver blood in less than 4 hours
Your patient with ulcerative colitis may be bleeding with this lab finding
Low hemoglobin and hematocrit (H&H). Ulcerative colitis may produce many episodes of bloody diarrhea
When feeding by Naso-Gastric, NG, tube head of bed should be at least
30 degrees
Reaction to a blood transfusion
Fever, Chills, Urticaria (hives), Pruritus (Itching), Resp Distress, Hypotension
Client with anemia from blood loss during surgery, you anticipate
Fatigue, pallor, dyspnea, tachypnea, and tachycardia
Your patient is vomiting coffee-ground emesis. Anticipate which test
Endoscopy for upper GI bleed
"Deficient fluid volume related to increased intestinal output" is the priority nursing diagnosis following what procedure
Post ileostomy
Teaching plan for your patient with GERD should include
Increase whole grain intake
Do not eat before bedtime
Decrease fat in every day diet
small frequent meals over 3 large meals
First two actions taken in a transfusion reaction
First stop the transfusion
Second infuse 0.9% sodium chloride (NS)
Client with anemia starts on ferrous sulfate (Iron). Teach client to expect
dark/black colored stools
Your diabetic patient with an abdominal wound should increase
Fluids
B-complex vitamins
Protein
Your patient has an acute exacerbation of Crohn's. The plan of care should include
NPO
Monitor electrolyte levels
Frequent Vital Signs
0.9% NS at 125 ml/hr
Priority treatment for GERD is
Reduce acid production in the Stomach