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Hematology

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Nursing Quiz on Hematology , created by Lexie McAlister on 04/12/2020.
Lexie McAlister
Quiz by Lexie McAlister, updated more than 1 year ago
Lexie McAlister
Created by Lexie McAlister over 3 years ago
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Resource summary

Question 1

Question
A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patients laboratory findings to include
Answer
  • a hematocrit (Hct) of 38%.
  • an RBC count of 4,500,000/mL.
  • normal red blood cell (RBC) indices.
  • a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).

Question 2

Question
Which menu choice indicates that the patient understands the nurses teaching about best dietary choices for iron-deficiency anemia?
Answer
  • Omelet and whole wheat toast
  • Cantaloupe and cottage cheese
  • Strawberry and banana fruit plate
  • Cornmeal muffin and orange juice

Question 3

Question
A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
Answer
  • iron.
  • folic acid.
  • cobalamin (vitamin B12).
  • ascorbic acid (vitamin C).

Question 4

Question
A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse determines that the patient understands the teaching about the disorder when the patient states, I
Answer
  • need to start eating more red meat and liver.
  • will stop having a glass of wine with dinner.
  • could choose nasal spray rather than injections of vitamin B12.
  • will need to take a proton pump inhibitor like omeprazole (Prilosec).

Question 5

Question
An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
Answer
  • provide a diet high in vitamin K.
  • alternate periods of rest and activity.
  • teach the patient how to avoid injury.
  • place the patient on protective isolation.

Question 6

Question
Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
Answer
  • I will call my health care provider if my stools turn black.
  • I will take a stool softener if I feel constipated occasionally.
  • I should take the iron with orange juice about an hour before eating.
  • I should increase my fluid and fiber intake while I am taking iron tablets.

Question 7

Question
Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
Answer
  • Potential complication: seizures
  • Potential complication: infection
  • Potential complication: neurogenic shock
  • Potential complication: pulmonary edema

Question 8

Question
The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse will plan to check the laboratory results for the
Answer
  • Schilling test.
  • bilirubin level.
  • stool occult blood level.
  • gastric analysis testing.

Question 9

Question
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT) when her platelet level drops to 110,000/L. Which action will the nurse include in the plan of care?
Answer
  • Use low-molecular-weight heparin (LMWH) only.
  • Administer the warfarin (Coumadin) at the scheduled time.
  • Teach the patient about the purpose of platelet transfusions.
  • Discontinue heparin and flush intermittent IV lines using normal saline.

Question 10

Question
A critical action by the nurse caring for a patient with an acute exacerbation of polycythemia vera is to
Answer
  • place the patient on bed rest.
  • administer iron supplements.
  • avoid use of aspirin products.
  • monitor fluid intake and output.

Question 11

Question
Which laboratory result will the nurse expect to show a decreased value if a patient develops heparin-induced thrombocytopenia (HIT)?
Answer
  • Prothrombin time
  • Erythrocyte count
  • Fibrinogen degradation products
  • Activated partial thromboplastin time

Question 12

Question
Which action will be admitting nurse include in the care plan for a 30-year-old woman who is neutropenic?
Answer
  • Avoid any injections.
  • Check temperature every 4 hours.
  • Omit fruits or vegetables from the diet.
  • Place a No Visitors sign on the door.

Question 13

Question
A 68-year-old woman with acute myelogenous leukemia asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?
Answer
  • If you do not want to have chemotherapy, other treatment options include stem cell transplantation.
  • The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy.
  • The decision about treatment is one that you and the doctor need to make rather than asking what I would do.
  • You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly.

Question 14

Question
A 54-year-old woman with acute myelogenous leukemia is considering treatment with a hematopoietic stem transplant. The best approach for the nurse to assist the patient with a treatment decision is to
Answer
  • emphasize the positive outcomes of a bone marrow transplant.
  • discuss the need for adequate insurance to cover post-HSCT care.
  • ask the patient whether there are any questions or concerns about HSCT.
  • explain that a cure is not possible with any other treatment except HSCT.

Question 15

Question
Which action will the nurse include in the plan of care for a 72-year-old woman with multiple myeloma?
Answer
  • Monitor fluid intake and output.
  • Administer calcium supplements.
  • Assess lymph nodes for enlargement.
  • Limit weight bearing and ambulation.
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