Author Question: A patient has developed multiple ecchymoses and there is occult blood in the patient's stool. The ... (Read 81 times)

kellyjaisingh · **on:** Jun 25, 2018

A patient has developed multiple ecchymoses and there is occult blood in the patient's stool. The patient's factor assays are assessed, and factor VIII is found to be decreased.

Based on the nurse's understanding of hematologic disorders, what is commonly associated with this patient's condition?

Select all that apply.
1. The patient's platelet count is normal.
2. The patient's prothrombin time is elevated.
3. The patient is diagnosed with hemophilia B.
4. The nurse administers fresh-frozen plasma to the patient per physician's orders.
5. The patient's bleeding time is within normal limits.

Question 2

A patient who is being treated for malignant lymphoma is experiencing pruritus. What interventions would be appropriate for this patient?

Select all that apply.
1. bathing with cool water
2. vigorously rubbing the skin after bathing
3. applying lavender-scented body lotion
4. keeping the room temperature above normal
5. cleansing bedding and clothing in mild detergent with a second rinse cycle

perkiness · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1,4, 5
The patient has likely developed hemophilia A. With this condition, the serum platelet count, bleeding time, and prothrombin time are within normal limits. The patient would commonly receive fresh-frozen plasma. Type B hemophilia is characterized by a deficiency of factor IX.

Answer to Question 2

Correct Answer: 1, 5
The nurse should provide and teach measures to promote comfort and relieve itching. These measures include using cool water and a mild soap to bathe; blotting skin dry; applying plain cornstarch or nonperfumed lotion or powder to the skin unless contraindicated; using lightweight blankets and clothing; maintaining adequate humidity and a cool room temperature; and washing bedding and clothes in mild detergent with a second rinse cycle.