This topic contains a solution. Click here to go to the answer

Author Question: An older patient is diagnosed with polycythemia vera. What care will this patient most likely be ... (Read 160 times)

P68T

  • Hero Member
  • *****
  • Posts: 509
An older patient is diagnosed with polycythemia vera. What care will this patient most likely be prescribed? Standard Text: Select all that apply.
 
  1. Ticlopidine
  2. Splenectomy
  3. Hydroxyurea
  4. Chemotherapy
  5. Periodic phlebotomy

Question 2

An older patient receiving warfarin (Coumadin) alternate doses of 2.5 mg/5 mg has an INR of 6.3. What care should the nurse anticipate that this patient will need? Standard Text: Select all that apply.
 
  1. Prepare to begin a heparin infusion.
  2. Administer vitamin K as prescribed.
  3. Administer protamine sulfate as prescribed.
  4. Withhold several doses of prescribed warfarin.
  5. Administer an additional dose of warfarin as prescribed.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

joneynes

  • Sr. Member
  • ****
  • Posts: 376
Answer to Question 1

3,5
Rationale: Ticlopidine is a potent inhibitor of platelet aggregation but is used in prevention of stroke and heart attack.
Rationale 2: Splenectomy is not indicated in the treatment of polycythemia vera.
Rationale 3: In polycythemia vera, hydroxyurea can decrease the risk of thrombosis.
Rationale 4: Chemotherapy is not indicated in the treatment of polycythemia vera.
Rationale 5: Periodic phlebotomy significantly decreases the risk of thrombosis.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6. Identify and prioritize appropriate nursing interventions to care for the older person with hematologic problems.

Answer to Question 2

2,4
Rationale: The INR is used to measure the effects of warfarin. Heparin is not administered for an elevated INR.




P68T

  • Member
  • Posts: 509
Reply 2 on: Jul 11, 2018
Gracias!


AngeliqueG

  • Member
  • Posts: 343
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Fungal nail infections account for up to 30% of all skin infections. They affect 5% of the general population—mostly people over the age of 70.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

For a complete list of videos, visit our video library