MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a client who has a unit of whole blood removed every 6 weeks as treatment for polycythemia vera. Which laboratory test will the nurse monitor to determine if the procedure is adversely affecting the client?
A
Potassium
B
Iron
C
Calcium
D
White blood cell count
Explanation: 

Detailed explanation-1: -Often, the first test used to diagnose PV is a CBC. The CBC measures many parts of your blood. This test checks your hemoglobin (HEE-muh-glow-bin) and hematocrit (hee-MAT-oh-crit) levels. Hemoglobin is an iron-rich protein that helps red blood cells carry oxygen from the lungs to the rest of the body.

Detailed explanation-2: -All patients are monitored for bleeding and thrombosis, while cardiovascular risk factors, such as high blood pressure, diabetes, and lifestyle, are assessed and monitored.

Detailed explanation-3: -Which nursing intervention takes highest priority when caring for a newly admitted client who’s receiving a blood transfusion? Instructing the client to report any itching, chest pain, or dyspnea. Rationale: This will help the nurse take immediate action incase a reaction happens during a transfusion.

Detailed explanation-4: -Polycythemia can also result from medical error, caused by over-transfusion. This can occur when point-of-care testing is used.

There is 1 question to complete.