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yushi yushi
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Posts: 544
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7 years ago
The home health nurse is caring for a patient with polycythemia vera. Which focus is most important for the nurse to emphasize?
 
  a. Maintenance of high fluid intake
  b. Daily exercise to reduce weight
  c. Daily dose of anticoagulants
  d. Adequate intake of vitamin C

Question 2

The nurse is caring for a young patient with asthma. Which activity should the nurse encourage in order to help prevent respiratory acidosis?
 
  a. Engage in deep-breathing exercises every 2 hours.
  b. Drink 8 ounces of fluid every 4 hours.
  c. Ambulate for 15 minutes twice a day.
  d. Sleep with the head of the bed elevated 45 degrees.

Question 3

Which position is best for an unconscious patient with a right-sided closed head injury?
 
  a. High Fowler
  b. Right side-lying
  c. Flat with small pillow under head
  d. Head of bed 20 to 30 degrees

Question 4

The nurse is caring for a 76-year-old patient in a long-term care facility who sent his food tray back to the kitchen untouched for the second time today. Which intervention is most effective to increase nutrition?
 
  a. Offer to feed the patient.
  b. Ask the dietitian to talk with the patient about food preferences.
  c. Offer the patient a high-protein drink.
  d. Sit with the patient during meals.

Question 5

How often should a patient with polycythemia vera have phlebotomy to thin the blood?
 
  a. Every 2 to 3 weeks
  b. Monthly
  c. Every 2 to 3 months
  d. Semiannually
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Replies
wrote...
7 years ago
The answer to question 1  A
The major focus is maintaining a high fluid intake to keep the circulating fluid well hydrated.

The answer to question 2  A
Deep breathing blows off CO2, which reduces the acid ions, thus preventing respiratory acidosis. Drinking fluids prevents dehydration and keeps secretions moist and thin, and sleeping with the head of the bed elevated will ease breathing and improve gas exchange. Ambulating 15 minutes twice a day does not have an impact on respiratory acidosis.

The answer to question 3  D
Keeping the head of the bed 20 to 30 degrees with the body in good alignment will help reduce intracranial pressure and keep the airway patent.

The answer to question 4  C
Taking the high-energy drink meets the immediate challenge of inadequate nutritional intake. Referral to the dietitian and sitting with the patient may be helpful. Offering to feed from a re-jected tray is not supportive.

The answer to question 5  C
The phlebotomies are scheduled about every 2 to 3 months in order to thin the blood to reduce hypertension and threat of stroke.
yushi Author
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7 years ago
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