Author Question: The patient, age 44, has polycythemia vera. The nurse recognizes that the primary pathophysiologic ... (Read 63 times)

2125004343 · **on:** Jul 11, 2018

The patient, age 44, has polycythemia vera. The nurse recognizes that the primary pathophysiologic feature of this disorder is

a. hyperproduction of erythropoietin.
b. capillary fragility and hemorrhage.
c. fatty infiltration of the bone marrow.
d. increase in red blood cells and hemoglobin and hyperviscosity.

Question 2

A patient with a terminal illness confides in his nurse that he plans to commit suicide. The nurse struggles with whether to report his intent.

In the Code of Ethics for Nurses of the American Nurses Association, the nurse reads the following statement: The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.. In this case, the nurse perceives the greatest ethical conflict between: A) Advocacy and protection
B) Safety and patient rights
C) Health and terminal illness
D) The patient and the nurse

Juro · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
Polycythemia vera is characterized by erythrocytosis (an abnormal increase in the number of circulating red blood cells) and also increased production of granulocytes and platelets.

Answer to Question 2

B
Feedback:
In this case, the right of the patient (patient rights) to confidentiality and the nurse's commitment to sustaining his life (safety) are in direct conflict.