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  • What is the main cause of a reduced hematocrit (HCT) in a client?
    What is the main cause of a reduced hematocrit (HCT) in a client?
    There are many reasons for hematocrit to fall below the normal range. Several reasons are internal bleeding, overhydration, sickle cell anemia, anemia, malnutrition, and cancer; although there are many more. Hemodilution would be a reason for decreased HCT. One example is during pregnancy even though the blood volume increases, and the red blood cells increase, plasma increases more, diluting the blood, resulting in anemia, and decreasing both hemoglobin and hematocrit levels. The lack of erythropoietin hormone, which produces red blood cells, can cause anemia which would lower HCT levels.

  • What is the name of the cell in the image below?
    What is the name of the cell in the image below?
    The correct answer to this question is A, Pelger-Huet Cell. Also known as the Pelger-Huet anomaly, it is a blood condition which is inherited in both a dominant and co-dominant manner. Pelger-Huet Cells are the result of white blood cells having unusual shapes and structures. They are normally peanut or dumbell shapped and are lumpy. These cells are caused by mutations is the LBR gene.These mutations are the cause of symptons such as isolated PHA, Hydrops, Ectopic calcification, and moth-eaten skeletal dysplasia. Most with this condition are healthy and many with it have no symptons, which is why the condition doesn't require any treatment.

  • What is the name of the cell pointed by the arrow?
    What is the name of the cell pointed by the arrow?
    This may be just an artifact...could be a platlet, but could be part of another partially digested cell.

  • Which laboratory value does the nurse expect to be elevated when a client develops a facial rash and urticaria after receiving penicillin?
    Which laboratory value does the nurse expect to be elevated when a client develops a facial rash and urticaria after receiving penicillin?
    C is the answer to this question. IgE is also known as immunoglobulin. This is usually associated with different allergic reactions. Since the patient is experiencing rashes and urticaria, this is the most obvious choice. The body usually increases that amount of this antibody in order to fight the allergy that you are experiencing. There are quite a few patients who are allergic to penicillin and they only realize it once the drug has already been administered to them. Take note that the other antibodies are used for other purposes. For instance, IgA can be combined with antigens and this cannot be done by the other antibodies that are given in the choices.

  • Which client is most likely to develop systemic lupus erythematosus (SLE)?
    Which client is most likely to develop systemic lupus erythematosus (SLE)?
    C is the right answer to this question. There are different people who may experience having lupus. Some of them acquire the condition because of another disease. Some get it because they are more prone to it. Out of the given choices, C is known to be the most likely to develop the disease because of the disease’s current profile. Lupus is more common amongst black females that are already in their 20s. This condition is not curable but there are certain medications and treatments that may help keep the condition at bay. Some are still able to live long and happy lives in spite of having this condition.

  • Which nonpharmacologic interventions should a nurse include in a care plan for a client who has moderate rheumatoid arthritis (RA)?
    Which nonpharmacologic interventions should a nurse include in a care plan for a client who has moderate rheumatoid arthritis (RA)?
    1. applying splints to inflamed joints-2. selecting clothing that has velcro fasteners-3. applying moist heat to joints-rationale: supportive, nonpharmacologic measures for the client with ra include applying splints to rest inflamed joints, using velcro fasteners on clothes to aid in dressing, and applying moist heat to joints to relax muscles and relieve pain. inflamed joints should never be massaged because doing so can aggravate inflammation. a physical therapy program, including rom exercises and carefully individualized therapeutic exercises, prevents loss of joint function. assistive devices should be used only when marked loss of rom occurs.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1909.

  • What type of hypersensitivity reaction would a nurse suspect in the following case? When administering a blood transfusion to a client with multiple traumatic injuries, the nurse monitors...
    What type of hypersensitivity reaction would a nurse suspect in the following case? When administering a blood transfusion to a client with multiple traumatic injuries, the nurse monitors...
    1. type ii (cytolytic, cytotoxic) hypersensitivity reaction-rationale: abo incompatibility, such as from an incompatible blood transfusion, is a type ii hypersensitivity reaction. transfusions of more than 100 ml of incompatible blood can cause severe and permanent renal damage, circulatory shock, and even death. drug-induced hemolytic anemia is another example of a type ii reaction. a type i hypersensitivity reaction occurs in anaphylaxis, atopic diseases, and skin reactions. a type iii hypersensitivity reaction occurs in arthus reaction, serum sickness, systemic lupus erythematosus, and acute glomerulonephritis. a type iv hypersensitivity reaction occurs in tuberculosis, contact dermatitis, and transplant rejection.&092;r&092;n&092;r&092;nclient needs category: physiological integrity&092;r&092;nclient needs subcategory: pharmacological and parenteral therapies&092;r&092;ncognitive level: knowledge&092;r&092;n&092;r&092;nreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1109.

  • What nursing interventions should a nurse expect to implement when caring for a child in acute sickle cell crisis?
    What nursing interventions should a nurse expect to implement when caring for a child in acute sickle cell crisis?
    When an adult or child suffers from sickle cell anaemia , then he or she has a blood disorder that doesn’t receive the amount of oxygen it needs in its haemoglobin. Poor hydration is a common symptom and occurrence with those who suffer from sickle cell anaemia . If a child who is younger than five years old, it is recommended that the child take penicillin in order to strengthen their immune system. Those with sickle cell anaemia are also more susceptible to malaria. A blood transfusion may be needed for those due to reduce the risk of getting a stroke. If a child is being cared for by a nurse, the nurse is expected to provide hydration to the patient’s body due to the problem with poor hydration.

  • What does a complete blood count commonly performed before client surgery seek to identify?
    What does a complete blood count commonly performed before client surgery seek to identify?
    Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels.CBC is a simple and normal test that screens for specific issues that can influence your wellbeing. A CBC decides whether there are any increase or decrease in your platelet counts. Ordinary esteems shift contingent upon your age and your sexual orientation. Your lab report will disclose to you the ordinary estimate for your age and sex. A CBC can help analyze an expansive scope of conditions, from weakness and contamination to disease. When preparing for CBC, you can typically eat and drink normally before a CBC. However, your doctor may require that you fast for a specific amount of time before the test. That’s common if the blood sample will be used for additional testing. Your doctor will give you specific instructions.

  • What should harmless temporary change should a nurse inform a patient with suspected lymphoma about (who is about to undergo lymphangiography)?
    What should harmless temporary change should a nurse inform a patient with suspected lymphoma about (who is about to undergo lymphangiography)?
    Bluish urine-rationale: lymphangiography may turn the urine blue temporarily; it doesnt alter stool color. For several months after the procedure, the upper part of the feet may appear blue, not red. lymphangiography doesnt affect the soles. Blue urine color is typically a light blue color and in all probability caused by foods you have eaten lately or pharmaceutical drugs you are taking. As it were, dyes are the no doubt reason you'd be seeing blue in the latrine, and you would need to have a greatly high convergence of color to essentially discolor your urine past an exceptionally pale color. Drugs are a regular reason for blue urine, since a significant number of these contain dyes. Methylene Blue is a genuinely basic color utilized as a part of professionally prescribed medications, and it is additionally utilized as a marker color for therapeutic investigation. Think about the little blue pill that a few men take to enable them to out with erectile brokenness. Indeed, we're discussing Viagra. A few solutions, can have a side effect of briefly changing your urine color to blue.

  • What action should the nurse take to protect the client's right to privacy in the following case? A client who tested positive for human immunodeficiency virus (HIV) and has pancreatitis...
    What action should the nurse take to protect the client's right to privacy in the following case? A client who tested positive for human immunodeficiency virus (HIV) and has pancreatitis...
    1. inform the nurse director she\ s violating the client\ s right to privacy and ask her to return the chart.-rationale: under the health insurance portability and accountability act, personal health information may not be used for purposes not related to health care. the nurse director found reading the chart isnt providing health care to the client and, therefore, doesnt require access to the chart. the nurse should confront the nurse director and ask her to return the clients chart. the director shouldnt have access to this clients health care information regardless of his hiv status. if she doesnt comply with the nurses request, the nurse should report the incident to her nurse manager, so the infraction can be reported through the proper channels. the staff nurse shouldnt report the incident to the medical director. asking the nurse director if she has permission to read the chart doesnt protect client confidentiality.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 129.

  • What is the name of the cell that that the arrow is pointing to(in the image below)?
    What is the name of the cell that that the arrow is pointing to(in the image below)?
    The cell that is shown in the picture above is Promyelocyte. The cell in biology, is a basic structure or the building block that which an organism depends upon. In the cells, there are various sub-components each having a specific important function to carry out for life to thrive. Cells are considered as the smallest unit of life, which replicate each other and divide in order to grow. There is a cytoplasm in cell which is present inside a membrane containing different biological molecules such as DNA and proteins. Organisms are of two types, unicellular and multicellular with regard to cell types.

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