Author Question: The nurse is planning to instruct a patient with secondary polycythemia about ways to prevent blood ... (Read 49 times)

colton · **on:** Jun 25, 2018

The nurse is planning to instruct a patient with secondary polycythemia about ways to prevent blood stasis. What should be included in these instructions?

1. Leg pain is normal.
2. Elevate feet and legs when sitting.
3. Restrict fluids.
4. Black stools are to be expected.

Question 2

A patient who is undergoing treatment for leukemia is scheduled for a bone marrow transplant. The nurse determines that this patient is in which phase of treatment for the disorder?

1. induction
2. maintenance
3. rehabilitative
4. postremission

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

Answer to Question 1

Correct Answer: 2
Measures to prevent blood stasis include elevating the legs and feet when sitting, using support stockings, and continuing treatment measures. The patient and family should be taught the importance of maintaining adequate hydration and increasing fluid intake during hot weather and when exercising. The patient should be instructed to report manifestations of thrombosis such as leg or calf pain; chest pain; neurologic symptoms or bleeding manifested as black, tarry stools and vomiting blood or coffee-ground emesis.

Answer to Question 2

Correct Answer: 4
Once remission has been achieved, postremission chemotherapy is continued to eradicate any additional leukemic cells, prevent relapse, and prolong survival. A single chemotherapeutic agent, combination therapy, or bone marrow transplant may be used for postremission treatment. The other phases of treatment do not include a bone marrow transplant.