Purpose Recognize common blood disorders and apply appropriate nursing interventions within the scope of practice of the LPN.
Competency Describe nursing care interventions for clients with hematological disorders. Instructions Read the following Scenarios and answer the questions that follow. Make sure you cite any sources using APA format.
Scenario # 1 You are sent to the medical ICU to help out because there were several sick calls. You are instructed by the charge nurse to take vital signs on all of the clients in the 12-bed unit. You are just completing your rounds when a call bell goes off in room three. The client in room three is recovering from septic shock but has been stable for the past 48 hours. The client is awake and talking requesting ice chips. As you lean over to grab his pitcher you notice blood oozing from two IV sites on his left arm. The Foley catheter has tea-colored urine and the client’s central line in his chest has blood oozing from the site.
Question # 1: What in the data collection should be reported to the RN immediately? Why? (5-10 sentences)
Question # 2: What items in the client’s history are risk factors for DIC? (2-3 sentences)
Scenario # 2 You are working in the genetics clinic of a large medical center. Your first client of the day has a history of hemophilia A (factor VIII deficiency). The client came to the clinic for evaluation of right knee pain. He denies any history of trauma and states the pain began last night and has been worsening since. His pain is a 7/10. Question # 3: Should the nurse be concerned about the client’s knee pain? Why or why not? (5-10 sentences)
Question # 4: Why are the vast majority of clients with hemophilia male? (5-10 sentences) Scenario # 3 You are working in a small community emergency room when you receive a client complaining of severe pain (10/10) to her arms and chest. The pain began one hour ago. The client is known to have sickle cell disease. Question # 5: What is the priority nursing intervention for this client? Explain your answer. (3-5 sentences)