Anemia
What does the bone marrow of a patient with Aplastic anemia look like?
What is pale, fatty, and fibrous?
How is Thrombocytopenia treated?
What is fresh frozen plasma (FFP)?
How is a patient positioned during a bone marrow biopsy of the iliac crest? Do bone marrow biopsies hurt?
What is left /ride side lying - exposing area with slight flexion of the hips? Yes, therapeutic communication examples.
After a splenectomy, what conditions are patients at higher risks of?
What is meningitis, pneumonia, HiB?
How much blood is in the human body?
What is 4-6 liters?
What labs indicate if iron supplements are working with a patient that has iron-deficiency anemia?
What is hemoglobin?
Who is at the highest risk of developing folic acid deficiency anemia?
What is daily ETOH drinkers, pregnant women?
Patients with mild hemophilia can take what medication prior to dental procedures and sports to decrease the risk of bleeding?
What is Desmopressin intranasally?
What are s/s of anemia- mild/ moderate?
What is fatigue, pallor, weakness, clubbed nails (spoon shaped nails), palpitations, SOB?
If a patient is 1 post-op from a splenectomy and having difficulty performing deep breathing exercises what is an appropriate intervention?
What is medicate with Opioids, encourage ambulation, splinting, and OOB?
Provide iron deficiency anemia (supplements) education.
What is Take in-between meals, Vitamin C increases absorption, report nausea or constipation to provider?
What type of activities are avoided when a patient has thrombocytopenia?
What is IM injections, contact sports, flossing?
How is the pain associated with Hemophilia treated?
What is opioids, Tylenol... avoid NSAIDS?
What labs are elevated with Multiple Myeloma?
What is Calcium levels?
What are manifestations of DIC?
What is petechiae, ecchymosis, back pain, N/V, and abdominal cramping ?
Provide Sickle cell interventions.
What is warm compresses, oxygen, IV fluids, opioids, avoid restrictive clothing and knee gatching?
It is very important to stress to patients that oral and IV hydration are very important to prevent increased viscosity of blood and sickling.
List S/S associated with bleeding.
What is petechiae, ecchymosis, easy bruising , pain in joints, black tarry stools, hematuria?
During a bone marrow biopsy what is the role of the LPN?
What is to monitor for bleeding and infection?
What is therapeutic communication?
Provide S/S of both.
What diet education is priority for patients with multiple myeloma?
What is increased fluid intake to 4L a day to prevent hypercalcemia?
What abnormalities would a nurse expect to see in the labs of a patient with Leukemia receiving chemotherapy?
What is decreased wbc, decreased rbc, decreased platelets?
What foods are high in folic acid?
What are whole grains, fortified grains, green leafy vegetables, sunflower seeds, beans, and liver?
What are bleeding precautions for patients with thrombocytopenia?
What is soft bristle toothbrush, water picks, electric razors, cluster blood draws, avoid IM injections when possible, monitor for black tarry stools?
What blood disorder develops as a secondary response to COPD? Why?
What is Polycythemia (PV)?
The body creates an abundance of RBCs in response to chronic hypoxia?
Describe the stages of Hodgkin's Lymphoma.
What is Stage 1- one lymph node
Stage 2 - two or more lymph nodes on the same side of the diaphragm
Stage 3- two or more lymph nodes on both sides of the diaphragm
Stage4- disseminated throughout body with organ involvement
Dietary instructions for a patient with Leukemia
What is bottled water, cooked foods (fruits, veggies, meats, fish), sugar-free gum/mints to help with metallic taste in mouth from chemotherapy?