Anemia
How should iron supplements be taken?
They should be taken in-between meals and with Vitamin C to increase absorption.
Chemotherapy has side effects on the bone marrow- what is it?
It causes the bone marrow to malfunction and not produce blood cells. Pancytopenia.
Clients taking Coumadin/Warfarin at home are at an increased risk of bleeding. What interventions should be educated to the client?
The client should be given instructions to avoid bleeding. Examples- Use electric razor, soft bristle toothbrush, water pic....
What are side effects of iron?
What is dark stools, constipation, nausea?
A client with Hodgkin's lymphoma presents with what symptoms? Upon a biopsy what is present to distinguish a diagnosis of Hodgkin's lymphoma?
The client will be tired, have night sweats, unintentional weight loss, painless enlarged lymph nodes- pain will happen in lymph nodes when drinking alcohol, fever. The presence of Reed-Sternberg cells.
Remember that a client needs support and reassurance while waiting for biopsy results. This takes priority because it is an actual need.
What is Disseminated Intravascular Coagulation (DIC)?
It is a syndrome in response to another serious event that is characterized by excessive clotting and bleeding.
What places a client at risk of iron deficiency anemia?
Think absorption...
Stomach surgeries, stomach cancer, inflammatory disorders (ulcers), eating a poor diet of processed/prepackaged foods.
What are clients with leukemia at risk for and why?
What is infection- look at WBC count (high or low)
What is bleeding- look at platelet count (low)
What is anemia- look at the hemoglobin (low)
What food are high in folic acid?
What is green leafy vegetables, fortified grains?
What are manifestations of iron deficiency anemia?
What is fatigue, palpitations, tachycardia, pallor, pale mucous membranes?
A client with hemophilia can display what signs or symptoms? How is Hemophilia treated?
The client may have unexplained bruising, feelings of internal bleeding, hemarthrosis. Preferred treatment is Factor V111. Joints with hemarthrosis should be elevated and rested.
What is multiple myeloma?
A cancer that causes bone destruction. Clients are at risk of pathological fractures and hypercalcemia.
What is Aplastic anemia? What is the client at risk of and why?
The bone marrow no longer produces blood cells.
Anemia- failure to produce RBCS
Thrombocytopenia- failure to produce platelets
Infection- failure to produce functioning WBCs.
After a splenectomy what is the LPNs role in post-op care?
The LPN should administer pain medications, get the client OOB, encourage incentive spirometer use, monitor for fever/infections?
Vaccines given are not considered long term vaccines.