Exam 3 Q's

A client is scheduled for a splenectomy. During discharge education, what teaching point should the nurse prioritize?

The need to report any s/s of infection ASAP

A nurse is teaching a client with a vitamin B12 deficiency about appropriate food choices to increase the amount of B12 ingested with each meal. The nurse knows the teaching is effective based on which statement by the client?

"I will eat a meat source such as chicken or pork with every meal"

A patient with chronic kidney disease is being examined by the nurse practitioner for anemia. The nurse has reviewed the laboratory data for hemoglobin and RBC count. What other test results would the nurse anticipate observing?

Decreased level of erythropoietin

A client has been diagnosed with a lymphoid stem cell defect. This client has the potential for a problem involving which of the following?

Plasma cells

A nurse is assisting a client into position prior to bone marrow aspiration. Which position will the nurse place the client prior to the procedure?

Prone

True/False VWD is the most common hereditary bleeding disorder

True

A nurse is aware of the central role that erythropoietin plays in the initiation of erythropoiesis. Which of the following individuals would be likely to require administration of exogenous erythropoietin?

A man with a diagnosis of ARF secondary to DM1

A client's electronic health record states that the client receives regular transfusions of factor IX. The nurse would be justified in suspecting that this client has what diagnosis?

Hemophilia

The nurse recognizes that the most common cause of iron deficiency anemia in an adult is

bleeding

The nurse is providing patient education in anticipation of the patient's scheduled bone marrow aspiration and biopsy. When teaching the patient about care after the procedure, the nurse should encourage the patient to do which of the following?

Avoid bathing until the site heals

A nurse is reviewing a client's morning laboratory 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

The nurse is aware that a patient has been diagnosed with thrombocytopenia. Which of the following is the most typical first indicator of the diagnosis that a patient will exhibit?

Petechiae

A client with Hodgkin disease had a bone marrow biopsy yesterday and reports aching at the biopsy site, rated a 5 (on a 1-10 scale). After assessing the biopsy site, which nursing intervention is most appropriate?

Admin acetaminophen

The nurse is working with a patient who has a hematological disorder. The nurse is aware that, in the process of hematopoiesis, stem cells differentiate into either myeloid or lymphoid stem cells. Into what broad cell types do myeloid stem cells differentiate? Select all that apply.

Leukocytes Platelets Erythrocytes

The nurse is caring for a client with hypoxia. What does the nurse understand is true regarding the client's oxygen level and the production of red blood cells?

The kidneys sense low oxygen levels in the blood and produce erythropoietin, stimulating the bone marrow to produce more red blood cells.

A patient with a recent history of hematologic abnormalities has been scheduled for a bone marrow biopsy. The patient has expressed to the nurse, "That sounds like an incredibly painful experience." How should the nurse best respond to this patient's concern?

There is some pressure and pain when the doctor removes the biopsy, but this is short lasting

The client is to receive a unit of packed red blood cells. What is the nurse's first action?

Verify the pt has signed a written consent form

The nurse is providing health education to an older adult client who has low red blood cell levels. To promote red blood cell production, the nurse should encourage intake of what foods? Select all that apply.

leafy green vegetables lean meats nuts and seeds