Hemolytic anemia An elevated reticulocyte count in an anemic client indicates that the bone marrow is responding appropriately to a decrease in the total red blood cell RBC mass and is prematurely destroying RBCs. Therefore, more immature RBCs are in circulation. Aplastic anemia is associated with a low reticulocyte count.
Decreased oxygen-carrying capacity of blood ANS: D Anemia is a condition in which the number of red blood cells or hemoglobin concentration is reduced below the normal values for age. This results in a decreased oxygen-carrying capacity of blood.
Increased blood viscosity is usually a function of too many cells or of dehydration, not of anemia. A depressed hematopoietic system or abnormal hemoglobin can contribute to anemia, but the definition depends on the decreased oxygen-carrying capacity of the blood.
A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness.
The hemoglobin on admission is 6. After notifying the practitioner of the results, what nursing priority intervention should occur next? Reduce environmental stimulation to prevent seizures. Have the laboratory repeat the analysis with a new specimen. Minimize energy expenditure to decrease cardiac workload.
Administer intravenous fluids to correct the dehydration. C The child has a critically low hemoglobin value. The expected range is When the oxygen-carrying capacity of the blood decreases slowly, the child is able to compensate by increasing cardiac output.
With the increasing workload of the heart, additional stress can lead to cardiac failure. Reduction of environmental stimulation can help minimize energy expenditure, but seizures are not a risk. A repeat hemoglobin analysis is not necessary.
The child does not have evidence of dehydration. If intravenous fluids are given, they can further dilute the circulating blood volume and increase the strain on the heart.
A child with severe anemia requires a unit of red blood cells RBCs.
The nurse explains to the child that the transfusion is necessary for which reason?Core Curriculum for Medical-Surgical Nursing 5th Edition © AMSN iii Preface The fifth edition of the Core Curriculum for Medical-Surgical Nursing presents a.
A focus on nursing care is presented in a nursing process format—including assessment data to collect, nursing diagnoses with suggested interventions and their rationales, and evaluation data to determine the effectiveness of nursing care.
Chapter 41 Assessment of the Hematologic System M. Linda Workman Learning Outcomes Safe and Effective Care Environment 1 Verify that the patient has given informed consent for a bone marrow aspiration or biopsy.
Health Promotion and Maintenance 2 Assess the patient's endurance in performing ADLs. 3 Perform a .
Prepare for success in the classroom! Corresponding to the chapters in the 9th edition of Lewis' market-leading Medical-Surgical Nursing, this study guide offers a complete review of content and a wide range of activities to help you understand key nursing concepts.
Chapter 30 Nursing Assessment Hematologic System Essay Chapter Nursing Assessment: Hematologic System Test Bank MULTIPLE CHOICE 1.
The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident. Phipps' Medical-Surgical Nursing 8th Edition Health and Illness Perspectives - EMEA Edition. Heart Failure, Valvular, and Inflammatory Problems of the Heart Vascular Problems UNIT 8 HEMATOLOGIC PROBLEMS Assessment of the Hematologic System Hematologic Problems UNIT 9 RENAL PROBLEMS Assessment of the Renal System.