Hematologic Disorders

Description

ATI Quiz
cpeters
Quiz by cpeters, updated more than 1 year ago
cpeters
Created by cpeters almost 9 years ago
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Resource summary

Question 1

Question
A nurse is planning care for a client who has a Hgb of 7.5 and a Hct of 21.5. Which of the following should the nurse include in the plan of care? (Select all that apply.)
Answer
  • Provide assistance with ambulation.
  • Monitor oxygen saturation.
  • Weigh the client weekly.
  • Obtain stool specimen for occult blood.
  • Schedule daily rest periods.

Question 2

Question
A nurse is teaching a client who has a new prescription for ferrous sulfate (Feosol). Which of the following should be included in the teaching?
Answer
  • Stools will be dark red in color.
  • Take with a glass of milk if gastrointestinal distress occurs.
  • Foods high in vitamin C will promote absorption.
  • Take for 14 days.

Question 3

Question
A nurse is providing discharge teaching to a client who had a gastrectomy for stomach cancer. Which of the following information should be included in the teaching? (Select all that apply.)
Answer
  • “You will need a monthly injection of vitamin B12 for the rest of your life.”
  • “Using the nasal spray form of vitamin B12 on a daily basis may be an option.”
  • “An oral supplement of vitamin B12 taken on a daily basis may be an option.”
  • “You should increase your intake of animal proteins, legumes, and dairy products to increase vitamin B12 in your diet.”
  • “Add soy milk fortified with vitamin B12 to your diet to decrease the risk of pernicious anemia.”

Question 4

Question
A nurse is completing an integumentary assessment of a client who has anemia. Which of the following is an expected finding?
Answer
  • Absent turgor
  • Spoon-shaped nails
  • Shiny, hairless legs
  • Yellow mucous membranes

Question 5

Question
A nurse in a clinic receives a phone call from a client seeking information about his new prescription for erythropoietin (Epogen). Which of the following information should be reviewed with the client?
Answer
  • The client needs an erythrocyte sedimentation rate (ESR) test weekly.
  • The client should have his hemoglobin checked twice a week.
  • Oxygen saturation levels should be monitored.
  • Folic acid production will increase.

Question 6

Question
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following indicates that the client’s clotting factors are becoming depleted? (Select all that apply.)
Answer
  • Platelets 100,000/mm³
  • Fibrinogen levels 97 mg/dL
  • Fibrin degradation products 4.3 mcg/mL
  • D-dimer 179 ng/mL
  • Sedimentation rate 38 mm/hr

Question 7

Question
A nurse is assessing a client and suspects the client is experiencing disseminated intravascular coagulation (DIC). Which of the following physical findings should the nurse anticipate?
Answer
  • Bradycardia
  • Hypertension
  • Epistaxis
  • Xerostomia

Question 8

Question
A nurse is caring for a client who has idiopathic thrombocytopenic purpura (ITP). The nurse should notify the provider and report possible small-vessel clotting when which of the following is assessed?
Answer
  • Petechiae on the upper chest
  • Hypotension
  • Cyanotic nail beds
  • Severe headache

Question 9

Question
A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following medications should the nurse anticipate administering to the client?
Answer
  • Heparin
  • Vitamin K
  • Antibiotic
  • Antilipemic
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