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When caring for a patient with neutropenia which assessment finding would cause the nurse to alert the health care provider immediately?Talk with your health care team right away if you have any of these signs of infection: A fever, which is a temperature of 100.5°F (38°C) or higher. Chills or sweating. Sore throat, sores in the mouth, or a toothache.
Which condition would the nurse monitor for in a patient who has a hemoglobin level of 20g dL?An Hb value less than 5.0 g/dL (50 g/L) can lead to heart failure and death. A value greater than 20 g/dL (200 g/L) can lead to obstruction of the capillaries as a result of hemoconcentration.
Which condition may cause a patient to develop anemia due to decreased hemoglobin synthesis?Microcytic anemia results from processes that impair hemoglobin synthesis in the RBC, such as iron deficiency, lead poisoning, sideroblastic anemia, and thalassemia.
Which diagnostic test can detect destruction of circulating platelets as the cause of thrombocytopenia?Bone marrow biopsy is indicated in conditions when the cause of thrombocytopenia is unclear, and when a hematologic disorder is suspected. A normal number or rise in megakaryocytes in bone marrow is a presenting feature in conditions with increased platelet destruction.
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