Rationale 2 serum transferrin also referred to a

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ferritin levels are related to the amount of iron stored in the body tissues and would not indicate IDA. Rationale 2 : Serum transferrin, also referred to a total iron binding capacity, increases in IDA to harvest more iron from the intestine. Rationale 3 : TIBC increases as a compensatory attempt to harvest more iron from the intestines; thus, its value increases in IDA. Rationale 4 : A high hematocrit level indicates hemoconcentration resulting from dehydration, which does not typically occur in IDA. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 56-3 Question 11 Type: MCMA A patient has been hospitalized with hemophilia. Nursing management of this patient’s care will include which interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Administration of replacement factors 2. Providing education to the patient and family 3. Achieving a cure for the disorder 4. Managing pain 5. Environmental control of risk Correct Answer: 1,2,4,5 Rationale 1 : The administration of replacement factors is a primary nursing responsibility when caring for patients diagnosed with hemophilia. Rationale 2 : Patient and family education is critical to ensure understanding of the disease process and the importance of complying with the goals of the disease management plan. Rationale 3 : Hemophilia is a chronic condition for which there is no cure. Rationale 4 : Hemophilia can result in painful bleeding into joints. Pain management is an essential part of the nursing care of these patients. Rationale 5 : Patients with hemophilia are at risk of injury from environmental factors that are not significant to those without the disease. The nurse should help the patient identify and control for these factors. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 56-6
Question 12 Type: MCMA A nurse is assigned to care for a female patient diagnosed with aplastic anemia. What are the expected outcomes of the nurse's interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The patient will list three sources of iron that should be included in the daily diet. 2. The patient will identify activities that increase her risk for falls. 3. The patient will demonstrate no complications from blood transfusions. 4. The patient will maintain a hematocrit level of 32%. 5. The patient will have regrowth of hair. Correct Answer: 2,3 Rationale 1 : The patient with aplastic anemia has increased iron stores and may need iron chelation therapy.

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