Low Supply, High Demand
A patient reports fatigue and dyspnea on exertion. This physiologic change explains these symptoms across all anemias.
What is decreased oxygen delivery to tissues?
The nurse places a patient on bleeding precautions for a platelet count of less than 20,000 and suspects this condition as the cause.
A patient develops urticaria and bronchospasm minutes after medication administration. The nurse knows this immunoglobulin is the cause.
What is IgE? (IgE-mediated mast cell degredation)
What is the face?
A patient presents with tachycardia, cool skin, and delayed capillary refill after a motor vehicle accident. The nurse suspects this type of shock.
What is hypovolemic shock?
This assessment finding best differentiates hemolytic anemia from iron-deficiency anemia.
What is jaundice or increased bilirubin?
A 25 year old patient presents with excessive bleeding of the gums after a tooth extraction and the nurse suspects this condition.
What is von Willebrand disease?
A medication causes destruction of red blood cells after exposure. This is an example of this type of hypersensitivity.
What is Type 2/Cytotoxic?
A patient with a widespread blistering rash reports fever and malaise. The nurse suspects this condition.
What is Stevens-Johnson Syndrome?
A patient in early shock has warm, flushed skin and bounding pulses. The nurse suspects this type of shock.
What is septic shock?
A patient has low hemoglobin, low hematocrit, and low platelets. The nurse suspects this type of anemia.
What is aplastic anemia?
The nurse knows that hemarthrosis is common in this x-linked condition.
What is hemophilia?
A patient develops localized redness and swelling 24–48 hours after a tuberculin skin test. This immune process is responsible.
What is a T-cell mediated inflammatory response/Type 4 hypersensitivity response?
This feature helps distinguish psoriasis from atopic dermatitis.
What are plaques?
This lab value trend indicates worsening tissue perfusion in shock.
What is rising lactate levels?
This is a unique symptom of pernicious anemia that is not found in other anemias.
What are neurological symptoms (numbness, tingling, balance issues, memory loss, confusion)
The nurse educates a pediatric patient's family that this treatment may decrease the amount of Factor 8 transfusion their child may need.
What is desmopressin?
A patient with lupus reports joint pain, fatigue, and photosensitivity. The nurse explains that this pathophysiology of the disease causes widespread inflammation and multi-organ involvement.
What is immune complex deposition causing systemic inflammation?
A child with atopic dermatitis has severe pruritus and excoriated skin. Which complication is the nurse most concerned about?
A patient with shock has decreasing urine output. The nurse knows this indicates this complication.
What is blood shunting/decreased renal perfusion?
A patient with chronic anemia reports palpitations. This is the most likely cause.
What is decreased oxygen delivery to the myocardium?
The nurse observes a patient with a bleeding disorder for these two vital sign changes, which may indicate active bleeding.
What are hypotension and tachycardia?
A patient with an autoimmune disorder is prescribed immunosuppressive therapy. This risk requires the most nursing vigilance.
What is infection?
A patient presents with a painful, unilateral vesicular rash following a dermatomal pattern. The nurse suspects this condition.
What is shingles (herpes zoster)?
DAILY DOUBLE!
This clinical change most strongly suggests progression from compensatory to progressive shock?