The nurse is assessing a client who is pale and complains of ...

[Metfan725]

The nurse is assessing a client who is pale and complains of dizziness and chronic fatigue. The client's heart rate increases with exertion.
 
  The medical diagnoses include possible anemia. Based on this assessment, which conclusion can the nurse draw?
  1. The client's signs and symptoms are typical of anemia.
  2. Pallor indicates the client has iron-deficiency anemia.
  3. Blood work will indicate the client has pernicious anemia.
  4. Constant exhaustion indicates the client is probably losing blood.

Question 2

An oncology nurse is administering colony-stimulating factors (CSFs) to a client who has been receiving chemotherapy. How should the nurse explain the expected effect of this medication?
 
  1. This medication will help overcome your fatigue and improve your overall energy level.
  2. This medication will help reduce the possibility of bleeding in the brain.
  3. This medication will help to counteract the tendency of chemotherapeutic agents to cause peripheral edema.
  4. This medication will help protect you from developing severe infections.

[whitcassie]

Answer to Question 1

Correct Answer: 1
Rationale 1: Pallor, fatigue, exercise intolerance, and compensation from the cardiovascular system are typical of all forms of anemia.
Rationale 2: Pallor is typical of all forms of anemia.
Rationale 3: The symptoms are not specific to pernicious anemia.
Rationale 4: Constant exhaustion is a symptom of all anemias.
Global Rationale: Pallor, fatigue, exercise intolerance, and compensation from the cardiovascular system are typical of all forms of anemia. The symptoms are not specific to pernicious anemia. Constant exhaustion is a symptom of all anemias.

Answer to Question 2

Correct Answer: 4
Rationale 1: CSFs do not decrease fatigue or improve energy levels.
Rationale 2: CSFs do not decrease the risk of intracranial bleeds.
Rationale 3: CSFs do not prevent or manage edema.
Rationale 4: The goal of CSF supplementation is to reduce the risk of infection, which is a major source of morbidity and mortality.
Global Rationale: The goal of CSF supplementation is to reduce the risk of infection, which is a major source of morbidity and mortality. CSFs do not decrease fatigue or improve energy levels, do not decrease the risk of intracranial bleeds, and do not prevent or manage edema.

[Metfan725]

Thank you!

[whitcassie]

Always glad to help...