chapter 29 - management of pts with nonmalignant hematologic disorders

Which of the following is the most common hematologic condition affecting elderly patients Thrombocytopenia Anemia Bandemia Leukopenia

Anemia

Which of the following describes a red blood cell (RBC) that has pale or lighter cellular contents? Hypochromic Hyperchromic Microcytic Normocytic

Hypochromic

The most common cause of iron-deficiency anemia in premenopausal women includes which of the following? Inadequate iron supplementation Lack of vitamin B12 Menorrhagia Iron malabsorption

Menorrhagia

After receiving chemotherapy for lung cancer, a client's platelet count falls to 20 x109L. What term should the nurse use to describe this low platelet count? Thrombocytopenia Leukopenia Neutropenia Anemia

Thrombocytopenia

A client is seen in the emergency department with severe pain related to a sickle cell crisis. What does the nurse understand is occurring with this client? The client has a decreased tolerance of pain related to the chronic nature of the illness. Overhydration enlarges the red blood cells. Vascular occlusion in small vessels decreasing blood and oxygen to the tissues. Bone marrow decreases the erythrocyte production causing decrease in hypoxia.

Vascular occlusion in small vessels decreasing blood and oxygen to the tissues.

Which medication is the antidote to warfarin? Protamine sulfate Clopidogrel Aspirin Vitamin K

Vitamin K

A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy? "I will receive parenteral vitamin B12 therapy until my vitamin B12 level returns to normal." "I will receive parenteral vitamin B12 therapy monthly for 6 months to a year." "I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear." "I will receive parenteral vitamin B12 therapy for the rest of my life."

"I will receive parenteral vitamin B12 therapy for the rest of my life."

The nurse is collecting data for a client who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia? "I have an increase in my appetite." "I have a difficult time falling asleep at night." "I have difficulty breathing when walking 30 feet." "I feel hot all of the time."

"I have difficulty breathing when walking 30 feet."

A complete blood count is commonly performed before a client goes into surgery. What does this test seek to identify? Low levels of urine constituents normally excreted in the urine Electrolyte imbalance that could affect the blood's ability to coagulate properly Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Potential hepatic dysfunction indicated by decreased blood urea nitrogen (BUN) and creatinine levels SUBMIT ANSWER

Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels

The nurse is caring for a client with type 2 diabetes who take metformin to manage glucose levels. The nurse recognizes the client may be most at risk for which vitamin deficiency? Folate C A B12

B12

When teaching a client with iron deficiency anemia about appropriate food choices, the nurse encourages the client to increase the dietary intake of which foods?

Beans, dried fruits, and leafy, green vegetables

A client reports feeling tired, cold, and short of breath at times. Assessment reveals tachycardia and reduced energy. What would the nurse expect the physician to order? ECG chest radiograph antibiotic CBC

CBC

A client with multiple myeloma reports pain along the spinal column. The client is prescribed naproxen (Aleve) and oxycodone. Prior to administering these medications, the nurse Instructs the client not to lift more than 20 pounds Teaches the client to bend at the back when lifting objects Checks the client's BUN and creatinine Questions the physician about the use of both medications

Checks the client's BUN and creatinine

A patient with chronic renal failure is examined by the health care provider for anemia. Which laboratory results will the nurse monitor? Increased reticulocyte count Increased mean corpuscular volume Decreased level of erythropoietin Decreased total iron-binding capacity

Decreased level of erythropoietin

A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron deficiency anemia? Dyspnea, tachycardia, and pallor Nights sweats, weight loss, and diarrhea Itching, rash, and jaundice Nausea, vomiting, and anorexia

Dyspnea, tachycardia, and pallor

The nurse is performing an assessment for a client with anemia admitted to the hospital to have blood transfusions administered. Why would the nurse need to include a nutritional assessment for this patient? It may indicate deficiencies in essential nutrients. It is important for the nurse to determine what type of foods the patient will eat. It will determine what type of anemia the patient has. It is part of the required assessment information.

It may indicate deficiencies in essential nutrients.

A client with multiple myeloma is complaining of severe pain when the nurse comes in to give a bath and change position. What is the priority intervention by the nurse? Inform the client that the bath and positioning is an important part of client care and will be done right after pain medication administration. Inform the client that she will feel better after receiving a bath and clean sheets. Inform the client that the position must be changed, and then you will give her pain medication and omit the bath. Obtain the pain medication and delay the bath and position change until the medication reaches its peak.

Obtain the pain medication and delay the bath and position change until the medication reaches its peak.

The nurse and the client are discussing some strategies for ingesting iron to combat the client's iron-deficiency anemia. Which is among the nurse's strategies? Taking iron pills with milk aids in absorption. Avoid vitamin C as it prevents absorption. Take iron with an antacid to avoid stomach upset. Drink liquid iron preparations with a straw.

Drink liquid iron preparations with a straw.

The nurse observes the laboratory studies for a client in the hospital with fatigue, feeling cold all of the time, and hemoglobin of 8.6 g/dL and a hematocrit of 28%. What finding would be an indicator of iron-deficiency anemia? Clustering of platelets with sickled red blood cells Erythrocytes that are macrocytic and hyperchromic An increased number of erythrocytes Erythrocytes that are microcytic and hypochromic

Erythrocytes that are microcytic and hypochromic

A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin. The nurse teaches the client about warfarin therapy. Which statement by the client indicates the need for further teaching? "I'll use an electric razor to shave." "I'll watch my gums for bleeding when I brush my teeth." "I'll report unexplained or severe bruising to my doctor right away." "I'll eat four servings of fresh, dark green vegetables every day.

"I'll eat four servings of fresh, dark green vegetables every day."