George, an 18-year-old, requires a splenectomy after a traumatic injury. What information should you provide to the patient before he is discharged to home?

1.George, an 18-year-old, requires a splenectomy after a traumatic injury. What information should you provide to the patient before he is discharged to home?

2.Mr. J. is transferred from Boston to Denver by his employer. What physiological responses would you expect because of the change in altitude?

3.Mrs. M. has been diagnosed with neutropenia, a less than normal number of neutrophils. What complications could result from this condition, and as her nurse how could you reduce the likelihood of these complications?

4.Mr. S. has a platelet count of 50,000/mm3. What does this value indicate?

5. Brenda is diagnosed with pernicious anemia. She asks you to explain how she contracted this disease and why she has to get “shots” to improve the number of erythrocytes in her blood; she also wonders how long she will need to have these injections.

6. Howard, a 56-year-old smoker, has chronic obstructive pulmonary disease (COPD). He arrives at the clinic for a regular follow-up visit. His erythrocyte count, hemoglobin, and hematocrit are all elevated. What is the name of this type of disorder, and what is the likely cause?

7. Olivia is a 3-year-old recently diagnosed with acute lymphocytic leukemia (ALL) found during her annual physical examination. Her mother is very upset; she wants to know the signs and symptoms, so she may monitor her child for worsening disease.

8. Albert is a 16-year-old who has been treated for the past year for acute lymphocytic leukemia. He arrives in the emergency department with an altered level of consciousness, low-grade fever, and purulent urine. His father states Albert reported pain on urination that morning. You require two attempts to start his intravenous catheter and detect that he continues to bleed from these needle sticks after 5 minutes with hematoma formation at the first site. You suspect that Albert has developed disseminated intravascular coagulation (DIC). What diagnostic tests would be required?

9. Mr. Jones was in a motorcycle accident yesterday. His injuries included a pelvic fracture and a right femur fracture. The nurse practitioner prescribes heparin daily. Why does Mr. Jones need heparin at this time?