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Chapter 23: Problem 155

A client is admitted with polycythemia vera. Which would the nurse recommend including in the plan of care for this client? A. Assessing the client for signs of hypokalemia B. Preparing for administration of iron C. Monitoring the client for stroke symptoms D. Restricting fluids to prevent excess fluid volume

Short Answer

Expert verified
Answer: Monitoring the client for stroke symptoms.

Step by step solution

01

Understanding polycythemia vera

Polycythemia vera is a rare blood disorder characterized by the overproduction of red blood cells, which can lead to an increased risk of blood clot formation. The blood becomes thicker, making it harder for the heart to pump it through the body. This can result in complications such as strokes and heart attacks.
02

Analyzing Option A

Option A suggests assessing the client for signs of hypokalemia. Hypokalemia is a condition characterized by low potassium levels in the blood. Although monitoring electrolyte levels can be important in patients with blood disorders, it is not specifically related to polycythemia vera and its complications.
03

Analyzing Option B

Option B suggests preparing for administration of iron. Iron is necessary for the production of red blood cells; however, in polycythemia vera, the body is already overproducing red blood cells. Therefore, administrating iron would not be an appropriate plan of care for the patient.
04

Analyzing Option C

Option C suggests monitoring the client for stroke symptoms. Due to the increased risk of blood clots and thicker blood caused by polycythemia vera, the risk of stroke is heightened. Monitoring for stroke symptoms would be an important part of nursing care for a client with this condition.
05

Analyzing Option D

Option D suggests restricting fluids to prevent excess fluid volume. While managing fluid balance is important, it is not the primary concern for a client with polycythemia vera. In fact, adequate hydration can help prevent blood from becoming too thick and reduce the risk of complications.
06

Choosing the Correct Option

Based on the analysis of each option, it becomes clear that monitoring the client for stroke symptoms (Option C) is the most appropriate nursing care recommendation for a client with polycythemia vera.

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Most popular questions from this chapter

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