Ch 32/33/34 NUR213

The nurse is completing a pretransfusion assessment to determine a female client's history of previous transfusions as well as previous reactions to transfusions. Which is the most important information to obtain from this client before the transfusion?

Number of pregnancies

ESR is

a laboratory test that measures the rate of settling of red blood cells (RBCs) -an elevated rate is indicative of inflammation

megaloblasts are

abnormally large erythrocytes

Pancytopenia is defined as

an abnormal decrease in WBCs, RBCs, and platelets -the condition may be congenital or acquired

Eryrhropoietin (epoetin alfa) is

an effective alternative treatment for clients with chronic anemia secondary to diminished levels of erythropoietin. It stimulates the production of red blood cells

The nurse is teaching a client with acute lymphocytic leukemia (ALL) about therapy. What statement should be included in the plan of care?

"Intrathecal chemotherapy is used primarily as preventive therapy"

what are some assessment findings support the client's diagnosis of acute myeloid leukemia? select all that apply -Weakness and fatigue -bone pain -enlarged heart -petechiae -enlarged lymph nodes

=Petechiae, enlarged lymph nodes, weakness and fatigue, and bone pain

what is a symptom of Cooley anemia?

Bronzing of the skin

A client with DIC has a critically low fibrinogen level and is beginning to hemorrhage. To increase the amount of fibrinogen in the body, the nurse anticipates administering which blood product?

Cryoprecipitate

The nurse should advise a client with iron deficiency anemia to take which action in order to prevent staining of the teeth?

Dilute liquid preparations of iron with juice and drink with a straw

which type of lymphocyte is responsible for cellular immunity

T lymphocyte

what is the antidote for warfarin?

Vitamin K

During the review of morning lab values for a client reporting severe fatigue and a red, swollen tongue, the nurse suspects chronic, severe iron deficiency anemia based on which findings?

low ferritin level concentration

A nurse is reviewing a client's morning lab results and notes a left shift in the band cells . Based on this result, the nurse can interpret that the client

may be developing an infection

Aplastic crisis in sickle cell disease

occurs as a result of infection with the human parvovirus

Vitamin B12 is found only in foods

of animal origin

Myeloid stem cells are responsible for the

production of red blood cells (RBCs) and platelets

What is the antidote for heparin?

protamine sulfate

differentiation is

the development of functions and characteristics that differ from those of the parent stem cell

Hemoglobin is

the iron-containing protein of RBCs

Hematocrit is

the percentage of blood volume consisting of erythrocytes

for a client with pernicious anemia, the nurse emphasizes the importance of lifelong administration of

vitamin B12

smooth and beefy red tongue

vitamin B12 deficiency

what is a nursing intervention that should be incorporated into the plan of care for a client with impaired liver function and a low albumin concentration?

Monitor for edema at least once per shift

Iron deficiency anemia should need appropriate food choices

beans, dried fruits, and leafy, green vegetables

the most common cause of iron deficiency anemia in men and postmenopausal women is

bleeding

Oral iron can cause what color stool

dark green or black

A client was admitted to the hospital with the following lab values: hemoglobin 5 g/dL, Leukocyte count 2000/mm3, and a platelet count of 48000/mm3; abnormally shaped erythrocytes and hypersegmented neutrophils were seen. the platelets appear abnormally large. A bone marrow biopsy was competed and revealed hyperplasia. Based on this info, the nurse determines that client most likely has which diagnosis?

folic acid deficiency

Lymphocyte refers to a

form of white blood cell involve in immune response =both B and T respond to exposure to antigens

the client with painful lymph nodes in the neck most likely has

hodgkin lymphoma

After chemotherapy for AML, what interventions will best help to prevent renal complications? Select all that apply. a) Increase hydration. b) Administer allopurinol (Zyloprim). c) Encourage exercise. d) Administer potassium therapy. e) Administer rasburicase (Elitek).

increase hydration, administer rasburicase, administer allopurinol

Clients with hemochromatosis exhibit symptoms of

weakness, lethargy, arthralgia, weight loss, and loss of libido early in the illness trajectory. The skin may also appear bronze in color