The nurse would anticipate that which of the following patient ...

[codyclark]

The nurse would anticipate that which of the following patient conditions will be treated with the collaborative treatment of regular phlebotomies?
 
  a. Hemophilia
  b. Thrombocytopenia
  c. Eosinophilia
  d. Polycythemia

Question 2

Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?
 
  a. An INR (international normalize ratio) of 1.8
  b. An INR of 4.8
  c. A partial thromboplastin time (APTT) level of 25 seconds
  d. An APTT level of 35 seconds

[Brummell1998]

Answer to Question 1

ANS: D
The removal of blood by using phlebotomy is used for thrombocytopenia to decrease the blood volume and decrease blood viscosity to prevent the formation of blood clots. Hemophilia and thrombocytopenia would not benefit from phlebotomy; eosinophilia is an overproduction of eosinophils from an abnormal allergic reaction and is treated with removal of the agent the person is allergic to and possibly administration of steroids.

Answer to Question 2

ANS: B
The INR of 4.8 is too high. The dosage of warfarin is adjusted to maintain an INR between 2 and 3. A level of 4.8 indicates that the patient is at risk for excessive bleeding. An INR of 1.8 is below the therapeutic range and would indicate the need for warfarin. APPT is not used to monitor effectiveness of the dose for warfarin.

[codyclark]

Excellent

[patma1981]

Thanks for the timely response, appreciate it