Polycythemia
Polycythemia ( 15 Questions)
Which nursing interventions are appropriate for this patient? (Select three.)
Encourage alcohol consumption. Rationale: This option is incorrect. Encouraging alcohol consumption is not a suitable nursing intervention for a patient with polycythemia. Alcohol can contribute to dehydration and may exacerbate the condition by increasing blood viscosity.
Monitor oxygen saturation. Rationale: This is a correct nursing intervention for a patient with polycythemia. Polycythemia can lead to increased blood viscosity and reduced oxygen delivery to tissues. Monitoring oxygen saturation helps assess tissue oxygenation and guides appropriate interventions.
Administer anticoagulants. Rationale: This is a correct nursing intervention for a patient with polycythemia. Polycythemia increases the risk of blood clot formation. Administering anticoagulants can help prevent clot formation and reduce the risk of thrombotic complications.
Elevate the head of the bed. Rationale: This is a correct nursing intervention for a patient with polycythemia. Elevating the head of the bed can promote venous return and reduce the risk of blood pooling in the extremities, which is important in managing polycythemia.
Apply moisturizing lotion to dry skin. Rationale: This option is not a priority nursing intervention for a patient with polycythemia. While dry skin may be a symptom of the condition, it is not a primary concern compared to managing blood viscosity, clot risk, and oxygenation.
Choice A rationale:
Encourage alcohol consumption.
Rationale: This option is incorrect.
Encouraging alcohol consumption is not a suitable nursing intervention for a patient with polycythemia.
Alcohol can contribute to dehydration and may exacerbate the condition by increasing blood viscosity.
Choice B rationale:
Monitor oxygen saturation.
Rationale: This is a correct nursing intervention for a patient with polycythemia.
Polycythemia can lead to increased blood viscosity and reduced oxygen delivery to tissues.
Monitoring oxygen saturation helps assess tissue oxygenation and guides appropriate interventions.
Choice C rationale:
Administer anticoagulants.
Rationale: This is a correct nursing intervention for a patient with polycythemia.
Polycythemia increases the risk of blood clot formation.
Administering anticoagulants can help prevent clot formation and reduce the risk of thrombotic complications.
Choice D rationale:
Elevate the head of the bed.
Rationale: This is a correct nursing intervention for a patient with polycythemia.
Elevating the head of the bed can promote venous return and reduce the risk of blood pooling in the extremities, which is important in managing polycythemia.
Choice E rationale:
Apply moisturizing lotion to dry skin.
Rationale: This option is not a priority nursing intervention for a patient with polycythemia.
While dry skin may be a symptom of the condition, it is not a primary concern compared to managing blood viscosity, clot risk, and oxygenation.