anemia questions

A. Administer IV Morphine per MD order B. Apply cold compresses C. keep patient on bed rest D. Administer oxygen per MD order E. Start IV fluids per MD order F. Keep NPO G. Administer iron supplement per MD order H. Remove restrictive clothing or objects from the patient answer: A,C,D,E,H

A 12 year-old is admitted with a sickle cell crisis. The patient rates their pain at 10/10. Vital signs are BP 124/80, HR 118, RR 18, T 101.6 F, O2 Saturation 91%.​ Select all​ the nursing interventions that are appropriate at this time.

A. The nurse should recognize that a patient with higher WBC count has a better expected outcome B. The "blasts" in the blood help these patients with immunity C. Patients who have chronic myelogenous leukemia are usually young adults D. Patients with leukemia are usually children answer: C

A Nurse is creating a plan of care for a patient with Leukemia. Which of the of the following does the nurse recognize as part of leukemia?

A. Methotrexate B. Filgrastim C. Erythropoietin D. Prednisone E. Vitamin K answer: A, D

A client has recently been diagnosed with autoimmune hemolytic anemia, the nurse can anticipate that the client will be prescribed which medications? (select all that apply)

A. WBC 2,000 B. PTT 120 sec C. RBC 3.2 D. HGB 9 E. platelet 80,000 answer: A,B,D,E

A female client presents to her primary care physician's office with continued bone pain, bruising, fatigue, and loss of appetite. Her physician suspects leukemia. Which laboratory findings would support this diagnosis? Select all that apply.

A. Dark and flushed mucous membranes B. Glossitis C. Weight loss D. Petechiae and ecchymosis answer: D

A nurse is assessing a client for manifestations of aplastic anemia. Which of the following findings should she expect?

A. If an increase in fatigue, day time naps are ok, no need to report to a physician. B. Take iron supplements in between meals and with orange juice. C. When taking iron supplements take with a glass of milk to decrease GI upset. D. Report any diarrhea to the health care provider. answer: B

A nurse is doing discharge teaching to a patient who is newly diagnosed with iron deficiency anemia. Which of the following should the nurse include in the teaching:

A. Initiate protective-environment isolation B. Increase activity to prevent blood clots C. Apply pressure for 1-2 minutes at puncture site following blood specimen collection D. Check blood glucose levels q 4 hours answer: A

A nurse is planning care for a patient with aplastic anemia. Which of the following interventions should the nurse include?

A. I will take this medication on an empty stomach B. I will avoid taking it with orange juice C. I will take it two hours after my calcium supplement. D. This can cause constipation so I will drink plenty of fluids. answer: B

A nurse is providing education to a patient about how to take their iron supplement. Which statement by the patient would require further teaching?

A. "Use dental floss daily" B. "Elevate your legs when sitting" C. "Continuously wear support hose" D. "Drink at least 1 liter of fluid daily" answer: B

A nurse is teaching a client who has polycythemia vera about self-care measures. Which of the following interventions should the nurse include?

A. place the client on bleeding precautions B. place the client on neutropenic precautions C. apply a fall risk band D. limit the amount of meat and apply swallow precautions E. observe for 24 hours post biopsy for bleeding answer: A,B,C,E

As the nurse taking care of a client diagnosed with aplastic anemia, what safety measures wil you take to ensure client safety? Select all that apply.

A. Deficiency of intrinsic factor B. Poor nutrition and iron malabsorption C. Deficiency of circulating red blood cells D. Lack of folic acid in the diet answer: A

The nurse is caring for a patient who was recently diagnosed with pernicious anemia. The nurse understands that this anemia is the result of

A. Smoking B. Chewing gum C. Viral infections, like mononucleosis D. Eating green leafy vegetables answer: C

Client asked the nurse what kind of things could make a person get hemolytic anemia?

A. hearing loss B. visual disturbances C. headache D. orthopnea E. gout F. weight loss answer: B,C,D,E

The nurse is teaching a client with polycythemia vera about potential complications from this disease. Which manifestations would the nurse include in the client's teaching plan? Select all that apply.

A. H&&H B. Lipase C. Total Bilirubin D. bone marrow test E. CBC answer: A, D, E

Nurse was clarifying the lab order for hemolytic anemia with the provider. Which lab orders would nurse order? Select all that apply.

A. Avoid food sources that could contain bacteria B. Avoid crowds while undergoing chemotherapy C. Get the pneumonia vaccine every 3 years D. Take frequent resting periods throughout the day answer: C

The RN is educating a client who has leukemia. All of the following would be included in their teachings except:

A. autoimmune reaction complicated by hypoxia B. lack of oxygen in the RBCs C. Obstruction to circulation D. elevated serum bilirubin concentration. answer: C

The nurse explains to the parents of a 1-year-old child admitted to the hospital in a sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following?

A. Neutropenic B. Airborne C. Bleeding D. Droplet E. Fall answer: A,C,E

What type of precautions would be appropriate when caring for a patient with polycythemia vera? SATA

A. Compression stockings B. Maintaining adequate oxygen exchange C. Elevate head of bed D. Encourage 3L of water daily answer: B

When caring for a patient with polycythemia vera, which intervention would be priority?

A. 64 year old with osteoporosis B. 70 year old with colon cancer C. 83 year old with advanced melanoma D. 75 year old with progressive parkinson's answer: B

Which client would the nurse assume has the highest risk for developing Pernicious Anemia?

A. Bone marrow tests B. Blood culture C. CBC D. urinalysis E. Spleen biopsy answer: A, C, D

Which lab tests would help in the diagnosis of hemolytic anemia, select all that apply:

A. WBCs 32,000/mm2 B. Platelets 300,000/mm3 C. Hemoglobin 15g/dl D. Blood pH of 7.35 answer: A

Which of the following laboratory values could indicate a patient has leukemia?

A. Headache B. Dizziness C. Pruritus D. Shortness of breath answer: C

Which of the following nursing assessments is a late symptom of polycythemia vera?

A. Chemo therapy consisting of several drugs B. Reduction of blood volume by phlebotomy C. Radiation therapy to destroy cancer cells D. Stem cell transplant answer: B

Which of the following treatment options is not expected for a client with Leukemia?

A. an 85 year old man who recently had gastric surgery B. a 23 year old female who reports having Crohn's disease C. a 50 year old female going through menopause D. a 65 year old male who has family history of the diseases E. a 47 year old female who reports taking an oral B12 vitamin daily answer: A,B,D

Who is at risk for developing pernicious anemia? Select all that apply

A. Fried rice with orange chicken B. Smoothie made with strawberries, raspberries and blueberries C. Baked Salmon with kale and spinach salad D. Bran cereal with soy milk answer: C

You are providing diet education to a client who has recently been diagnosed with Pernicious Anemia, which meal would educate the client is a good source of B12?

A. This probably happened to me from my chemotherapy treatment. B. This will be cured in about 2 weeks. C. I will need a bone marrow biopsy. D. It is expected to feel tired and dizzy. answer: B

You have a client that has aplastic anemia as the nurse you are evaluating her understanding of the teaching. What statement indicates that the client does not understand the teaching?

A. native american B. African american C. pacific islanders D. latino answer: B

You're assisting a physician with sickle cell anemia screening. As the nurse you know that which patient population listed below is at risk for sickle cell disease?

A. "We will limit fluid intake during the day to 1-2 L a day." B. "Cold showers are best to help with pain associated with sickling." C. "we will avoid traveling to high altitude locations" D. "It is important we refuse all future vaccinations unless absolutely necessary." answer: C

You're educating the parents of a 12 year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which statement by the parents demonstrates they understood your instructions?​

A. A 30 year old patient that follows a strict vegan diet. B. A 68 year old patient with history of alcohol abuse C. A 50 year old patient with chronic renal failure D. An obese patient with a history of gastric bypass surgery. answer: B

​The healthcare provider is seeing four patients at the neighborhood clinic. Which of these patients should the healthcare provider identify to be most at risk for iron-deficiency anemia?