How Can an Online Class Help Me in Communication?
Name
Chamberlain University
NR-324 Adult Health I
Prof. Name
Date
In preparing for the nursing care of patients with hematologic alterations, it is vital for nurses to follow specific guidelines to ensure patient safety and effective management of their conditions. A nurse who develops a fever before her scheduled shift should prioritize her health and safety by notifying her supervisor about her inability to work that day. This action is critical to prevent any potential risk of transmitting infection to vulnerable patients. While wearing personal protective equipment (PPE) at work is essential, the immediate step when experiencing symptoms is to avoid attending the shift altogether. Taking acetaminophen for symptom relief may be considered, but it should not replace the responsibility of informing the supervisor.
Upon reviewing a patient’s chart, a nurse observes that the hemoglobin level is at 7 g/dL, accompanied by a low hematocrit. The nurse must recognize and evaluate the symptoms associated with these lab findings, which may include dyspnea, fatigue, abnormal skin color, and other indicators of compromised oxygenation. It is important to select all relevant symptoms to provide a comprehensive assessment and initiate appropriate interventions.
When assessing a patient with erythrocytosis, the nurse must consider the potential factors contributing to this condition. These factors can include folate deficiency, chronic smoking, and living at high altitudes. It is crucial to understand that iron deficiency and excess menses are not typically associated with erythrocytosis, as these conditions usually lead to anemia. Identifying the correct factors is vital for determining the appropriate treatment strategy.
| Nursing Intervention | Details |
|---|---|
| Self-Check: Outcome – Nursing Evaluation | The nurse must develop a discharge teaching plan for a client diagnosed with thrombocytopenia. If the patient’s seizure medication was discontinued, the follow-up complete blood count (CBC) should be scheduled in approximately two weeks to ensure the platelet count normalizes. |
| Self-Check: Nursing Diagnoses | The nurse is tasked with identifying expected signs and symptoms related to altered hematologic conditions and assigning them to the appropriate nursing diagnoses. This process aids in patient-centered care planning. |
| Self-Check: Hospital Acquired Infection | When reviewing the hospital census, the nurse identifies patients at high risk for hospital-acquired infections, such as an older adult on immunosuppressive therapy and those with chronic illnesses. Prioritizing these patients ensures proactive nursing interventions. |
In the case of a patient named Julie, who experienced significant blood loss during a hysterectomy and now presents with symptoms such as fever and chills after receiving packed red blood cells, the nurse must assess the type of transfusion reaction occurring. The likelihood of Julie experiencing a febrile non-hemolytic reaction is high given her symptoms. The appropriate nursing action is to stop the blood transfusion immediately and change the infusion to normal saline to mitigate any adverse reactions.
In assessing a patient with aplastic anemia, the nurse must identify priority follow-up items based on the patient’s presentation of shortness of breath and fatigue. Vital signs such as temperature, blood pressure, pulse, and respiratory rate should be closely monitored. The patient’s skin condition, including pallor and coolness, requires further investigation to determine the risk of complications like impaired gas exchange or bleeding.
For a patient named Janet diagnosed with aplastic anemia, several nursing diagnoses may apply, including fatigue, risk for bleeding, and impaired gas exchange. Prioritizing interventions is essential, and the nurse should take actions in the following order: initiate neutropenic precautions, administer oxygen, type and cross for PRBCs, and monitor vital signs regularly.
Evaluating the outcomes of nursing care involves assessing the patient’s respiratory system and monitoring the complete blood count (CBC) to gauge the effectiveness of interventions. Additionally, vital signs, including heart rate and oxygen saturation levels, should be regularly assessed to ensure the patient’s stability and recovery.
When contacting the healthcare provider regarding a patient named Bill, who has polycythemia and low oxygen saturation, the nurse must communicate pertinent assessment findings, including vital signs and lab results. This information is crucial for guiding the provider’s orders.
In managing a patient with polycythemia, the nursing diagnoses should be prioritized as follows: altered gas exchange, altered tissue perfusion, risk for thromboembolism, and knowledge deficit. Each diagnosis should be addressed through targeted nursing interventions.
For Bill, further testing will guide the nursing actions. Indicators of improvement in Bill’s condition include an increased oxygen saturation level, reduced shortness of breath, and stabilized vital signs.
Laboratory markers indicative of anemia include hematocrit, hemoglobin, red cell distribution width, and red blood cell count. These markers are essential for diagnosing the severity and type of anemia a patient may have.
In a case where a client has sustained a significant blood loss from a stab wound, the immediate nursing action should be to administer the ordered packed red blood cells to restore blood volume and improve oxygenation.
When reviewing various conditions, the nurse must categorize the type of anemia most likely associated with each. Common symptoms caused by anemia may include shortness of breath with activity, abnormal skin assessments, and low hemoglobin and hematocrit levels.
In the assessment of a patient named Alma, presenting with shortness of breath, the nurse should recognize signs of anemia, such as pale skin and low oxygen saturation. The patient’s vital signs and lab results will further guide the diagnosis and care planning.
For Alma, the suspected type of anemia may include iron deficiency anemia or thalassemia, based on her clinical presentation. Planning appropriate nursing interventions is crucial to address her symptoms and improve her overall condition.
The pertinent findings from Alma’s admission should be utilized to develop targeted nursing interventions. Assessing her responses to treatment will aid in evaluating her progress and determining any necessary adjustments in care.
Reviewing a nursing progress note, priority assessment cues for a patient named Dwayne, who presents with moderate joint pain and mild shortness of breath, must be identified. His vital signs indicate potential anemia, necessitating a comprehensive nursing approach that includes administering prescribed medications and suggesting dietary changes.
Upon Dwayne’s discharge after experiencing a sickle cell crisis, the nursing discharge note should confirm that his goals have been met. Vital signs and patient-reported outcomes must reflect stability and improvement to ensure continued recovery.
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