Anemias
What should patients take iron with to increase absorption?
What is Vitamin C?
Found in citrus fruits (tomato juice), broccoli, mangos?
What are education instructions for patients with thrombocytopenia to reduce the risk of bleeding?
What is use a soft bristle toothbrush, no flossing, use an electric razor, avoid IM injections (immunizations), cluster/ avoid blood draws, blow nose gently, lubricate lips to avoid chapped/bleeding lips?
What patients are at the highest risk of developing folic acid deficiency anemia?
What is pregnant women and patients that drink alcohol daily?
What is the role of the LPN during a bone marrow biopsy?
What is monitoring for bleeding and infection?
What is provide emotional support and therapeutic communication?
S/S of bleeding - hypotension, tachycardia, hematoma formation. S/S of infection- temperature, red/angry site.
Go over procedure.
If a patient post splenectomy is having trouble doing their breathing exercises and/or ambulating related to pain what can the nurse do to promote adherance?
What is appropriate pain control? First 24-48 hours opioid pain meds?
What diagnostic tests determine if a patients' anemia is improving?
What is hemoglobin and hematocrit?
How is thrombocytopenia treated?
What is fresh frozen plasma (FFP) or pooled platelets?
What food are high in folic acid?
What is fortified cereals, green leafy vegetables, animal meats?
What is a dietary change that can help a patient receiving chemotherapy if they develop a common side effect of a metallic taste in their mouth?
What is chewing sugar-free gum?
After a splenectomy a patient is at a greater risk for which illnesses?
What is meningitis, pneumonia, and HiB?
When a patient is taking iron supplements what are appropriate nursing interventions/education?
What is take supplements between meals, with Vitamin C, Report and nausea or constipation to the MD, ensure patient has adequate rest periods?
What are signs and symptoms of increased bleeding?
What is petechiae, ecchymosis, black tarry stool, hematuria, easy bruising, hemarthrosis, epistaxis?
What are common manifestations of anemia?
What is pallor, spoon shaped finger nails, fatigue, palpitations, dizziness, dyspnea on exertion?
A patient with Leukemia would be on what type of transmission based precautions?
What is protective precautions (neutropenic)?
Why.
Pancytopenia due to cancer and chemotherapy.
A patient with multiple myeloma will have an increase in what laboratory tests?
What is Calcium?
What diagnostic tests indicate Aplastic anemia?
What is pancytopenia and a "dry tap" when a bone marrow biopsy is completed?
Bone marrow will be pale, fatty, and fibrous?
With immune thrombocytopenic purpura (ITP) what laboratory test is expected to be low?
What is platelet count?
Lovenox (enoxaparin) is an anticoagulant used to prevent blood clots. It is a Sq injection. What should the nurse have available in case of an overdose?
What is protamine?
Lovenox is a low- molecular heparin.
When a patient has multiple myeloma what are the nurse's priority care plans?
What is pain related to pathological fractures? What is risk for injury do to decreased bone integrity?
What are nursing interventions to promote peripheral perfusion in a patient with sickle cell anemia?
What is avoid restrictive clothing, avoid knee gatching, warm compresses to joints, warm blankets/ room temperature?
A patient with sickle cell anemia should be educated on what interventions to prevent future sickling?
What is proper hydration, avoid stress, strenuous activities, avoid smoking, prevent illness, avoid hiking and flying in unpressurized planes?
Warfarin is an anticoagulant used to prevent clots. What is the antidote that the nurse should always have available in case of an overdose?
What is Vitamin K?
How can a patient with multiple myeloma prevent the complication of developing hypercalcemia?
What is increase oral fluids (4L/day)?