Term 2 Flashcards
(26 cards)
What is idiopathic thrombocytopenia and what would nursing interventions be ?
Avoid contact sports
Use soft tooth brush
Use electric shaver
What nursing intervention are important for a client with lymph edema ?
Elevate the arm above the heart level
Protect the arm
Do not use for injections or B/P
What should the nurse consider if the stool is very dark in color ?
Taking a hemacult test
Their could be blood in the stool
What is a complication the nurse would be concerned about with lymph node enlargement , such as with Hodgkin’s disease ?
Stridor
Airway
What nursing care should be given after a bone marrow aspiration /biopsy ? What are the side effects of chemotherapy ?
Apply pressure for 10 mins to promote bloodclot
Monitor for hematoma and edema
Alopecia , loss of appetite , fatigue
How should the nurse care for a client with irritated mucous membrane / mouth ulcerations ?
Use swabs
Soft toothbrush
Eat soft food
What coursing intervention can help a person with fatigue ?
Rest
Short period of activity with rest periods in between
10 mins of pace activities without tyrate
What are s/a of hemophilia ?
Lack of clotting factors
Lack of factor 8
Joint bleed , causing the deformity of the joint - can limit you mobility
Hemathrosis
What is polycythemia and what nursing intervention would be appropriate ? What are s/s of anemia ?
Thick blood
Hydration
3 liters of water a day
Can be caused by hypoxia
What nutrient deficiencies can cause anemia ?
Folic acid , B12 , iron
What foods are rich in iron ?
Leafy greens ( kale ) , red meat (beef) , organ meat
What monitoring is necessary during blood transfusion ?
Monitor for itching , hives , rash , if allergic reaction - stop the transfusion
What is reverse isolation and when it is required ?
To protect the patient
Amunocompromised
No fresh fruits or flowers
What are nursing consideration for patients with leukemia ?
At risk of infection
Have a lot of immature WBC
LEUKROCYTE PAIRED
What is purpura ?
Bleeds in the skin
Purple spots
What precautions should be taken with a patient at risk for bleeding ?
Avoid IM injection
Use small needles
What is pernicious anemia ?
Lack of intrinsic factor
B12 deficiency
What is sickle cell crisis ?
Caused by lack if oxygen
Or lack of hydration
It’s called a Vasoocculsive crisis
In what population is sickle cell more common ?
African American
What is the treatment for sickle cell ?
Hydration
Oxygen
What nursing care is required after a spleenectomy ?
Infection or hemmorage
Monitor for abdominal destination sign - internal bleeding
What is multiple mylenoma ? What are s/s ?
Cancer of the plasma cell in the bone marrow
S/s- bone pain , pathological fractures
What are s/s of thrombophlebitis ?
DVT in the vein - bloodclot
It redness , swollen , shiny
Sometimes the humans sign is done where the foot is flexed and the pt feel pain in the calf
What the treatment for thrombophlebitis ?
Anticoagulant
Elevate leg
Warm pack increase
