Which instruction will the nurse plan to include in discharge teaching for a patient who was admitted with a sickle cell crisis?

Mr. Carter, a 35-year-old male, presents to the clinic with complaints of fatigue, nausea, intermittent abdominal pain, and jaundice. He reports that he recently returned from a week-long trip to a rural area in Southeast Asia, where he ate local food and drank untreated water. He denies any history of alcohol use or intravenous drug use.

Laboratory results include:

ALT (Alanine Aminotransferase): 1,200 U/L (Normal range: 7–56 U/L).

AST (Aspartate Aminotransferase): 1,000 U/L (Normal range: 10–40 U/L).

Total Bilirubin: 5.5 mg/dL (Normal range: 0.1–1.2 mg/dL).

Hepatitis A IgM: Positive (Normal range: Negative).

Social History:
Works as a teacher.
Lives alone.

Identify the priority nursing interventions for Mr. Carter (select all that apply):

In a severely anemic patient, which assessment findings would the nurse expect to find?

To prevent autonomic dysreflexia, which nursing action would the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level?

A 55-year-old male was admitted 1 week ago for a left lower leg venous thromboembolism (VTE/DVT), confirmed by ultrasound. He started to work from home 4 months ago and reports that his activity level has significantly decreased. When admitted, his left lower leg had 3+ edema and was warm and reddened over the calf area. He was immediately started on intravenous heparin therapy, with warfarin (Coumadin), on the same day. On day 5, the heparin infusion was discontinued, and he will be discharged on oral warfarin (Coumadin) alone. He expects to be discharged to home tomorrow.

Indicate which discharge information is appropriate/indicated for the patient. Select all that apply.

A 55-year-old male was admitted 1 week ago for a left lower leg venous thromboembolism, confirmed by ultrasound. He started to work from home 4 months ago and reports that his activity level has significantly decreased. When admitted, his left lower leg had 3+ edema and was warm and reddened over the calf area. He was immediately started on intravenous heparin therapy, with warfarin (Coumadin) on the same day. The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?

Which four patient assessment findings require follow-up by the nurse? Select all four that apply.

RM, a 38-year-old woman who is attending graduate school and is very sedentary, comes to a community outpatient clinic. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds (6.8 kg) over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She says she has general body aches and pains with frequent muscle cramps and constipation. You note she is dressed inappropriately warmly for the weather. The physician orders lab work. The lab results are as follows:

WBC - WNL

HGB - WNL

Glucose - WNL

Amylase - WNL

Cholesterol - WNL

T4 (thyroxine) -↓

T3 (triiodothyronine) -↓

Thyroid-stimulating hormone (TSH) -↑

The physician diagnoses RM with an endocrine disorder. The assessment findings and lab work are consistent with which endocrine problem?

Prioritize the nursing interventions for Mr. Frank.

Options:

Interpret these clinical findings and determine the nurse's next action.

Clinical Findings:

• Complaints of dizziness and unsteady gait.
• BP: 98/60 mmHg.
• Carbidopa-Levodopa last taken 30 minutes ago.

A 55-year-old male was admitted 1 week ago for a left lower leg venous thromboembolism (VTE/DVT), confirmed by ultrasound. He started to work from home 4 months ago and reports that his activity level has significantly decreased. When admitted, his left lower leg had 3+ edema and was warm and reddened over the calf area. He was immediately started on intravenous heparin therapy, with warfarin (Coumadin), on the same day. On day 5, the heparin infusion was discontinued, and he will be discharged on oral warfarin (Coumadin) alone. He expects to be discharged to home tomorrow.

Indicate which discharge information is appropriate/indicated for the patient. Select all that apply.