The nurse is assessing a client admitted with cyanotic heart ...

[debasdf]

The nurse is assessing a client admitted with cyanotic heart disease. Which hematology laboratory result does the nurse expect to assess?
 
  a. Anemia
  b. Polycythemia
  c. Normal
  d. Decreased hemoglobin

Question 2

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if which occurs? Select all that apply.
 
  a. Respiratory rate of 36 at rest
  b. Appetite slowly increasing
  c. Temperature above 37.7 C (100 F).
  d. New, frequent coughing
  e. Turning blue or bluer than normal

[janieazgirl]

Answer to Question 1

B
Polycythemia can occur as a result of hypoxia, such as that experienced at high altitude or when oxygen is not sufficiently directed to the tissues, as in cyanotic heart disease. Anemia is a decrease in the number of RBCs, a reduction in their hemoglobin content, or a reduced volume of packed RBCs. Anemia results from one of two problems: either too rapid a loss of RBCs (by covert or overt bleeding or destruction) or too slow a production of RBCs. Anemias are categorized according to the size of the RBC (macrocytic, microcytic, normocytic) and the content of hemoglobin in the RBC (hypochromic, normochromic). The hematology laboratory result would not be normal because of the chronic hypoxia seen with cyanotic heart disease.

Answer to Question 2

C, D, E
The parents should be instructed to notify the physician after their infant's cardiac surgery for a temperature above 37.7 C; new, frequent coughing; and any episodes of the infant turning blue or bluer than normal. A respiratory rate of 36 at rest for an infant is within normal expectations and it is expected that the appetite will increase slowly.