The nurse is caring for an older male client who has been ...

[cdr_15]

The nurse is caring for an older male client who has been diagnosed with hemolytic anemia. The nurse is aware of which of the following about this diagnosis?
 
  1. It is a result of loss of blood.
   2. It is associated with a decrease in the reticulocyte count.
   3. It causes the red blood cells to be microcytic.
   4. It always requires treatment with folic acid.

Question 2

The nurse who witnesses the patient's signature on an informed consent form is confirming which of the following?
 
  a. The patient understands what is to be done.
  b. The physician explained the procedure.
  c. The patient understands the cost of the pro-cedure.
  d. The person who signed the form is the patient and the patient is competent, alert, and aware.

[InfiniteSteez]

Answer to Question 1

4. It always requires treatment with folic acid.

Rationale:
Hemolytic anemia is more common with aging and is caused by the premature destruction of the red blood cells. The normal life span of a red blood cell is 120 days. All hemolytic anemias require treatment with folic acid because this vitamin is consumed by the increased bone marrow production of red blood cells in response to the anemia.It is not associated with blood loss. There is an increase, not a decrease, in the reticulocyte (immature red blood cells) count because they are released early from the bone marrow to compensate. Hemolytic anemias are normocytic (red blood cells are normal size), not microcytic.

Answer to Question 2

D
Witnessing the signing of the consent confirms that the person who signs the consent is in fact the patient, is competent, alert, and aware of all actions at that point in time.

[cdr_15]

TY

[InfiniteSteez]

You're welcome