Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Presence of plethora (excess body fluid)

Calf swelling and pain

Platelet count 450,000/microL

Hematocrit 55%

Answer and Explanation

The Correct Answer is B

A.   Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B.   Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C.   A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D.   Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.

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Correct Answer is ["A","B","C"]

Explanation

A. "In some types, HPV will go away on its own and does not cause health issues.": This is
important information to include as it reassures individuals that not all HPV infections lead to health problems.
B. "Some forms of HPV can lead to cervical cancer.": It is crucial to educate young adults about the link between certain types of HPV and the development of cervical cancer.
C. "HPV is most commonly spread during vaginal or anal sexual contact.": Providing information about how HPV is transmitted helps individuals understand how to reduce their risk of infection.
D. "You cannot get HPV if you have had only 1 sex partner.": This statement is HPV can be transmitted through sexual contact, including with only one sexual partner.
E. "There are no vaccinations or treatments available against HPV and its symptoms.": This statement is There are vaccinations available to protect against certain types of HPV, and treatments are available for HPV-related health issues such as genital warts and cervical abnormalities.

A. Remove restrictive clothing or objects from the patient B. Administer IV Morphine per MD order C. Administer oxygen per MD order D. Place on NPO E. Start intravenous fluids per MD order F. Keep patient on bed rest

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

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Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student is doing a presentation on human papillomavirus (HPV) for a young adult group aged 18 to 20 years old. What information should the nursing student include in this presentation?

Correct Answer is ["A","B","C"]

Explanation

A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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