Ati sylvestri questions for hem oncology

A client has been diagnosed with disseminated intravascular coagulation (DIC). Which laboratory tests would the nurse anticipate being prescribed? Select all that apply.

- D - dimer - hemoglobin - prothrombin time

a nurse in a providers office is reviewing the medical records of a group of a group of clients the nurse should identify that which of the following clients are at risk for iron decifency

- a client that is vegetarian - a client who is preganat - a toddler who is overweight

The nurse is caring for a client with thrombocytopenia. Which data would the nurse monitor for related to this condition? Select all that apply.

- purpura - ecchymoses - platelet count less than 150,000mm

A registered nurse has just hung a 250-mL bag of packed red blood cells (PRBCs) on a client. The licensed practical nurse assisting in caring for the client plans to remain with the client for at least how many minutes following the start of the infusion?

15 minutes

The nurse reviews the laboratory results for a client diagnosed with leukemia who is receiving chemotherapy. The nurse notes that the white blood cell (WBC) count is 2000 mm3. The nurse identifies the finding as indicative of which?

signifying leukopenia

A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of the following actions should the nurse take first when suspecting a transfusion reaction?

stop the infusion

a nurse in a providers office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks which of the following instructions should the nurse include

take this medication between meals - meals decrease absorption of iron

A client who is receiving a blood transfusion pushes the call light for the nurse. When entering the room, the nurse notes that the client is flushed, dyspneic, and complaining of generalized itching. How would the nurse correctly interpret these findings?

transfusion reaction

A client has been diagnosed with pernicious anemia. In planning care for the client, the nurse anticipates that the client will be treated with which vitamin or mineral?

vit B 12

The nurse is assisting with caring for a client who will receive a unit of blood. Just before the infusion, it is most important for the nurse to check which item?

vital signs

a nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm which of the following interventions should the nurse include in the plan of care?

administer a stool softener

a nurse is planning a menu for a client who has folic acid deficiency anemia and is selecting food high in folic acid which of the following should the nurse include

asparagus

The nurse is caring for a client with a suspected diagnosis of aplastic anemia. Which test would the nurse anticipate to be performed to confirm the diagnosis?

bone marrow aspiration

During the intrapartum period, the nurse assists the health care team to ensure appropriate intravenous (IV) fluid intake and oxygen consumption for the laboring client with sickle cell disease. Which rationale would the nurse provide to the client for these interventions?

Administering adequate IV fluids and oxygen during your labor will assist in preventing dehydration and hypoxemia, which can lead to sickling."

A nurse is assisting in the preparation of a unit of packed red blood cells (RBCs) for a client who has anemia. Which of the following actions should the nurse take first?

C. Witness the informed consent

A nurse is collecting data from a client who has pernicious anemia. Which of the following findings should the nurse expect?

C. Paresthesias in the hands and feet

A nurse is contributing to the plan of care for a client during a sickle cell crisis. Which of the following interventions should the nurse recommend?

D. Administer oxygen via nasal cannula

A nurse is assisting with the admission of a client who is in sickle cell crisis. Besides pain management, which of the following interventions should the nurse suggest to include in the client's plan of care?

D. Ample hydration

A nurse is collecting data from a client who is receiving a unit of whole blood. Which of the following findings should the nurse identify as a manifestation of a hemolytic transfusion reaction?

D. Low back pain The nurse should identify that low back pain is a manifestation of a hemolytic transfusion reaction. Other manifestations include headaches, chest pain, tachypnea, tachycardia, and dark urine.

a nurse is assisting with the care of a client who has septic shock and is risk for disseminated intravascular coagulation (DIC) which of the following nursing statements indicated an understanding of the condition

DIC is caused by abnormal coagulation involving fibrinogen

a nurse is reinforcing teaching with a client who has iron deficiency anemia and is to start taking ferrous sulfate twice a day which of the following statements by the client indicate an understand of the teaching?

I will take this medication with orange juice

A nurse is reinforcing teaching with a client who has iron-deficiency anemia. The nurse should encourage the client to increase her consumption of which of the following foods?

Lentils The nurse should encourage the client to increase her consumption of iron-rich foods, including meat, fish, poultry, and dried beans and peas. A 1-cup serving of lentils contains 3.6 mg of iron.

A nurse is assisting with planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan of care?

Measure the client's abdominal girth daily The nurse should plan to measure the client's abdominal girth daily to monitor for manifestations of internal bleeding. A client who has a reduced platelet count is at risk for bleeding due to delayed clotting.

A pregnant anemic client is concerned about her baby's condition following delivery. Which nursing response best supports the client?

The effects of anemia on your baby are difficult to predict, but let's review your plan of care to ensure you are providing the best nutrition and growth potential."

The nurse is doing discharge teaching with a client who has sickle cell disease. The nurse reinforces instructions to the client to avoid which factors that could precipitate a sickle cell crisis? Select all that apply

- infections - emotional stress

The nurse is assisting in planning care for a client with Hodgkin's disease who is neutropenic as a result of radiation and chemotherapy. Which actions would be included in the client's plan of care? Select all that apply.

- monitor white blood cell counts daily - ensure meticulous hand washing for the client - ask visitors with respiratory infection symptoms not to visit

A client is admitted to the hospital with vitamin B12 deficiency. When taking the client's history, which symptoms would the nurse expect the client to report? Select all that apply

- muscle weakness - difficulty in walking - numbness in hands

The nurse has conducted dietary teaching with the client diagnosed with iron deficiency anemia. The nurse determines that the client understands the information if the client states the intention to increase intake of which foods? Select all that apply.

- oysters - spinach - kidney beans

The nurse is assisting with creating a plan of care for a client with pancytopenia as a result of chemotherapy. The nurse would suggest including which in the plan of care? Select all that apply.

- restricting fresh fruits and vegetables in the diet - applying a fair mask to the client if outside the clients room

The client is admitted to the hospital with a diagnosis of suspected Hodgkin's disease. Which signs and symptoms of the client are associated with Hodgkin's disease? Select all that apply.

- weakness - fatigue - night sweats - enlarged lymph nodes

A client has experienced several episodes of sickle cell crisis. Which reinforced instructions would be included in the client's teaching plan to prevent recurrence? Select all that apply.

- wear shoes and sicks when walking outside to prevent damage to feet - recognize early symptoms of infection and contact the primary health care provider

a nurse is contributing to the plan of care for a client who has bone marrow suppression related to chemotherapy treatments which of the following interventions should t nurse include in the plan of care?

monitor oral mucosa daily

The nurse is assisting with caring for a client who has received a transfusion of platelets. The nurse determines that the client is benefiting most from this therapy if the client exhibits which finding?

A decrease in oozing from puncture sites and gums

A client requiring upcoming surgery is extremely anxious about the need for a possible blood transfusion and is concerned about the risk of infection from contaminated blood. The nurse suggests that the client consider which as an effective method to minimize this risk?

Arrange an autologous blood donation before the planned surgery

A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. When checking the client's laboratory results, which of the following values should the nurse identify as contributing to the client's fatigue and pallor?

B. Hgb 6.5 g/dL

A nurse is evaluating a client's repeat laboratory results 4 hours after administering fresh frozen plasma (FFP). Which of the following laboratory values should the nurse review?

B. Prothrombin time The nurse should review the client's prothrombin time after the administration of FFP, which is plasma rich in clotting factors. FFP is administered to treat acute clotting disorders. The desired effect is a decrease in the prothrombin time.

A nurse is reinforcing teaching with a client who has iron-deficiency anemia. The nurse should encourage the client to increase her consumption of which of the following foods?

Beef liver

A client is receiving supplemental therapy with folic acid. The nurse evaluates the effectiveness of this therapy by monitoring the results of which laboratory study?

CBC

A nurse is assisting with preparing an in-service presentation about the basics of hematology. The nurse should suggest explaining that which of the following factors provides a stimulus for the production of RBCs?

D. Tissue hypoxia In response to tissue hypoxia, the kidneys release erythropoietin, which stimulates the production of erythrocytes (RBCs) in the bone marrow.

a nurse is reinforcing teaching with a client who has hemophilia A which of the following manifestations should the nurse include in the teaching?

Disabling joint ain because of hemorrhage into joints

a nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 22,000 mm which of the following findings should the nurse identify as the priority

Ecchymosis

A nurse is reinforcing teaching with a client who has pernicious anemia. The nurse should encourage the client to increase his consumption of which of the following foods?

Eggs

A nurse is reviewing the laboratory results of a client who has end stage renall disease and report fatigue the client hemoglobin is 8g/dl the nurse should expect a prescription for which off the following medication?

Erythropoeitien

A client with which type of cancer is at greatest risk for experiencing the complication vena cava syndrome?

lung cancer

a nurse is collecting data from a client who has anemia and a hemoglobin level of 7.2 g/dl which of the following findings should the nurse expect

brittle fingernails

a nurse is reinforcing dietary teaching with a client who has iron deficiency anemia which of the following foods should the nurse recommend?

cooked oatmeal

A client who has been diagnosed with multiple myeloma asks the nurse about the diagnosis. The nurse bases the response on which characteristic of the disorder?

malignant proliferation pf plasma cells and tumors within the bone

a nurse is collecting data from a client who has received chemotherapy to treat lung cancer who of the following adverse effects should the nurse report to the provider?

manifestation of a infection chemo can lower WBC count and needs to be reported

A client with cancer is receiving chemotherapy and develops thrombocytopenia. Which intervention is a priority in the nursing plan of care?

monitor client for bleeding

The nurse is assisting in the care of a client diagnosed with multiple myeloma who has been prescribed an intravenous solution of 0.9% normal saline at 125 mL per hour. Which finding would indicate a positive response to this treatment?

creatine pg 1 mg/dl

a nurse is reviewing the laboratory data of a client who has acute leukemia and received aggressive chemotherapy treatment 1o days ago which of the following abnormalities should the nurse expect to see?

decrease platelet count decreased WBC decreased RBC

The nurse is assisting in caring for a client with an inoperable lung tumor and helps develop a plan of care by addressing complications related to the disorder. The nurse includes monitoring for the early signs of vena cava syndrome in the plan. Which early sign of this oncological emergency would the nurse include monitoring for in the plan of care?

edema of the face and eyes

a nurse is checking laboratory values for an adult who has sickle cell anemia and is in crisis for which of the following complication should the nurse monitor

elevated bilirubin

a nurse is caring for a client who ha multiple myeloma and has a WBC count of 2,200/mm which of the following items brought by the family should the nurse prohibit from being given to the client

fruit basket

The nurse is collecting data from a client who is admitted to the hospital for diagnostic studies to rule out the presence of Hodgkin's disease. Which question would the nurse ask the client to elicit information specifically related to this disease?

have you noticed swollen lymph nodes

The nurse is reviewing the laboratory results of a client who has been diagnosed with multiple myeloma. Which finding would the nurse expect to note with this diagnosis?

increased calcium level

The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse note as a result of the massive cell destruction that occurred from the chemotherapy?

increased uric acid level

The nurse is reviewing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory finding is indicative of the massive cell destruction that occurs with the chemotherapy?

increased uric acid level

A nursing instructor asks a nursing student about the characteristics of Hodgkin's disease. The instructor determines that the student needs additional study if the student states that which is an associated characteristic?

occurs most often in older adults

a nurse is assisting in planning care for a client who has advanced multiple myeloma when planning care for nurse should recognize that the client is at risk for which of the following complications?

pathological factor

a nurse is caring for a client who has hemophilia and reports an increase in bruising which of the following laboratory values should the nurse expect

platelet 110,000/mm

a nurse is collecting data from a client who has leukemia which of the following findings has the highest priority?

platelet count 125,000/mm

A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. Which of the following actions should the nurse take?

prepare for placement of the missing clotting factor

The nurse is caring for a client with sickle cell disease who is in labor. The nurse ensures that the client receives appropriate intravenous (IV) fluid intake and oxygen consumption to primarily accomplish which goal?

prevent dehydration and hypoxemia

Which test would the nurse expect to have done for a client suspected of having pernicious anemia?

schilling test

A nurse is assessing for disseminated intravascular coagulation (DIC) in a client who has septic shock secondary to an untreated foot wound. Which of the following findings should the nurse expect? (Select all that apply.)

- bleeding at the venipuncture site - petechiae on chest and arms - abdominal distention

A nurse is assisting with the care of a client who is scheduled to receive a transfusion of packed red blood cells (RBCs). Which of the following actions should the nurse take? (Select all that apply.)

- check a document the client vital signs - make sure the blood type and Rh of the packed RBC's are checked by 2 nurses - provide the RN with IV tubing that has a filter

The nurse is reinforcing instructions to a client with iron deficiency anemia about eating a diet with iron-rich foods. Which food sources would the nurse include in the discharge teaching plan of a client with iron deficiency anemia? Select all that apply.

- eggs - liver

The nurse is assisting with developing a plan of care for the client with multiple myeloma. Which nursing intervention would be included to prevent renal failure for this client? Select all that apply

- encourage fluid - monitoring serum calcium and uric acid levels

The nurse is caring for a client with a diagnosis of aplastic anemia. Which are the most likelysigns/symptoms associated with aplastic anemia? Select all that apply.

- fatigue - infection petechiae shortness of breath

A nurse is collecting data from a client who has manifestations of aplastic anemia. Which of the following findings should the nurse expect?

D. Petechiae and ecchymosis - The client who has aplastic anemia will have manifestations of petechiae and ecchymosis. Dyspnea on exertion also can be present. In aplastic anemia, all three major blood components (red blood cells, white blood cells, and platelets) are reduced or absent, which is known as pancytopenia. Manifestations usually develop gradually.

a nurse is reviewing laboratory findings for a client admitted with multiple myeloma the nurse should expect to see an increase in which for the following laboratory tests

calcium

A nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin alfa. Which of the following pieces of information should the nurse include in the teaching?

C. Hypertension is a common adverse effect of this medication. A common adverse effect of epoetin alfa is hypertension because of the rise in the production of erythrocytes and other blood cell types. Epoetin alfa is a synthetic version of human erythropoietin. Epoetin alfa is used to treat anemia associated with kidney disease or medication therapy. It increases and maintains the red blood cell level.

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

C. "Elevate your legs when sitting." Clients who have polycythemia vera should elevate their legs when seated to avoid venous pooling with subsequent clot formation.

A nurse is reinforcing discharge teaching with a client who has aplastic anemia. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

C. "I should eliminate uncooked foods from my diet for now." The client can help prevent infection by eating thoroughly cooked foods. Fresh fruit, vegetables, eggs, meat, and fish can harbor microorganisms that cooking would destroy, so the client should avoid raw foods.

A nurse is reinforcing discharge teaching with a client who had a sickle cell crisis. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

C. "Physical activity is good for me, but I need to avoid overexertion."

A nurse is assisting with preparing a client for a bone-marrow biopsy. Which of the following pieces of information should the nurse include in the preoperative instructions?

C. "You'll feel a painful, pulling sensation when the doctor withdraws the marrow."

A nurse is collecting data about the hematologic system of an older adult client. The nurse should report which of the following findings to the provider as a possible indication of a hematologic disorder?

C. Absence of hair on the legs Progressive loss of hair is common with aging. However, thinning or absence of hair on the extremities indicates poor arterial circulation to that area. The nurse should look for further indications of arterial insufficiency and report these findings to the provider. Progressive loss of hair is common with aging. However, thinning or absence of hair on the extremities indicates poor arterial circulation to that area. The nurse should look for further indications of arterial insufficiency and report these findings to the provider.

a nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC) which of the following findings should the nurse expect?

excessive thrombus and bleeding

A nurse is contributing to the plan of care for a client who has pernicious anemia. Which of the following interventions should the nurse recommend?

initiate weekly injections of vitamin b 12

a nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy which of the following interventions should the nurse include in the plan of care?

limit the number of health care workers entering the room