Author Question: The nurse is preparing discharge education for an older patient and his family The patient's ... (Read 45 times)

cmoore54 · **on:** Jul 11, 2018

The nurse is preparing discharge education for an older patient and his family

The patient's hemoglobin is currently 8.2 mg/dL as a result of cancer treatment therapy. To best address the patient's hematology status, the nurse includes instructions to do what? (Select all that apply.)
a. Include eggs or an egg substitute into the daily diet.
b. Avoid strenuous exercise until hemoglobin improves.
c. Regularly take both a mid-morning and mid-afternoon nap.
d. Have a green leafy salad with vegetables at meals.
e. Check for bruising to the extremities and the gums.

Question 2

A dying older patient has dyspnea, which causes anxiety. What action by the nurse is best?

a. Provide oxygen for a saturation less than 90.
b. Provide a cool fan to blow on the patient.
c. Administer prescribed morphine sulfate.
d. Administer a prescribed bronchodilator.

wilsonbho · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C, D
Instruct the patient and family to increase rest and sleep periods as well as to incorporate foods into the diet that are high in iron, such as eggs, lean meat, green leafy vegetables, carrots, and raisins. These interventions are directed toward conserving energy and providing iron. Avoiding strenuous activity will decrease the chance of injury. Bleeding and bruising would indicate low platelet count.

Answer to Question 2

C
Morphine sulfate is often used for dyspnea and has the added benefit of slight sedation, which will help this patient's anxiety. Providing oxygen based on saturations does nothing for the pa-tient's distress; the patient may feel short of breath, even with an oxygen saturation of 100. A cool fan may help. There is no indication that the patient needs a bronchodilator. IF the patient has wheezing, this would be appropriate.