Extra PrepU for ecam 1 CC3 perfusion/oxygenation
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? Avoid vitamin C as it prevents absorption. Drink liquid iron preparations with a straw. Take iron with an antacid to avoid stomach upset. Taking iron pills with milk aids in absorption.
Drink liquid iron preparations with a straw.
The nurse is caring for a client who had undergone hemodilution during surgery. Immediately after surgery, the nurse expects to see which lab result? Elevated erythrocyte concentration Decreased hematocrit Elevated creatinine Critically low arterial oxygen saturation
Decreased hematocrit
A patient with chronic renal failure is examined by the health care provider for anemia. Which laboratory results will the nurse monitor? Decreased total iron-binding capacity Decreased level of erythropoietin Increased reticulocyte count Increased mean corpuscular volume
Decreased level of erythropoietin
A client wants to donate blood before his or her abdominal surgery next week. What should be the nurse's first action? Provide the client with a list of the nearest donation centers. Explain the time frame needed for autologous donation. Remind the client to take supplemental iron before donation. Tell the client that 2 units of blood will be needed.
Explain the time frame needed for autologous donation.
When assessing a client with anemia, which assessment is essential? Lifestyle assessments, such as exercise routines Family history Age and gender Health history, including menstrual history in women
Health history, including menstrual history in women
A nurse is aware of the fact that nonadherence to prescribed therapy is both common and harmful. How can a nurse best promote adherence to therapeutic regimens among patients? Establish a system of rewards and punitive measures that is linked to adherence Provide examples of the harmful consequences of nonadherence to therapy Help individuals be aware of the benefits of adhering to their prescribed therapy Make adherence a requirement for treatment in early interactions with patients
Help individuals be aware of the benefits of adhering to their prescribed therapy
Which term refers to the percentage of blood volume that consists of erythrocytes? Hemoglobin Differentiation Erythrocyte sedimentation rate (ESR) Hematocrit
Hematocrit
A client complains of extreme fatigue. Which system should the nurse suspect is most likely affected? Neurological Hematological Integumentary Respiratory
Hematological
A patient with End Stage Kidney Disease is taking recombinant erythropoietin for the treatment of anemia. What laboratory study does the nurse understand will have to be assessed at least monthly related to this medication? Creatinine level Potassium level Hemoglobin level Folate levels
Hemoglobin level
A nurse is caring for a patient who has had a bone marrow aspiration with biopsy. What complication should the nurse be aware of and monitor the patient for? Hemorrhage Blood transfusion reaction Splintering of bone fragments Shock
Hemorrhage
After withdrawing the needle from blood donor's arm, the site begins to bleed excessively. What is the nurse's first action? Apply a tourniquet above the antecubital fossa. Lower the arm below the level of the heart. Assist the client into an erect position. Hold firm pressure on the venipuncture site.
Hold firm pressure on the venipuncture site.
A client receiving a blood transfusion experiences an acute hemolytic reaction. What is the nurse's priority intervention? Immediately stop the transfusion, infuse dextrose 5% in water (D5W), and call the health care provider. Slow the transfusion and monitor the client closely. Stop the transfusion, notify the blood bank, and administer antihistamines. Immediately stop the transfusion, infuse normal saline solution, call the health care provider, and notify the blood bank.
Immediately stop the transfusion, infuse normal saline solution, call the health care provider, and notify the blood bank.
A nurse provides nutritional information for a patient diagnosed with an iron-deficiency anemia. What education should the nurse provide? Take an iron supplement with meals to reduce gastric irritation. Decrease the intake of citrus fruits because they interfere with iron absorption. Decrease the intake of high-fat red meats, especially organ meats. Increase the intake of green, leafy vegetables.
Increase the intake of green, leafy vegetables.
Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome? Increased cost of treatment Decreased morbidity Decreased chronic illness Increased compliance with medical regimen
Increased cost of treatment
A client with severe anemia reports symptoms of tachycardia, palpitations, exertional dyspnea, cool extremities, and dizziness with ambulation. Laboratory test results reveal low hemoglobin and hematocrit levels. Based on the assessment data, which nursing diagnoses is mostappropriate for this client? Fatigue related to decreased hemoglobin and hematocrit Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit Imbalanced nutrition, less than body requirements, related to inadequate intake of essential nutrients Risk for falls related to complaints of dizziness
Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit
A patient who has long-term packed RBC (PRBC) transfusions has developed symptoms of iron toxicity that affect liver function. What immediate treatment should the nurse anticipate preparing the patient for that can help prevent organ damage? Anticoagulation therapy Therapeutic phlebotomy Iron chelation therapy Oxygen therapy
Iron chelation therapy
The nurse observes a co-worker who always seems to be eating a cup of ice. The nurse encourages the co-worker to have an examination and diagnostic workup with the health care provider. What type of anemia is the nurse concerned the co-worker may have? Iron deficiency anemia Megaloblastic anemia Sickle cell anemia Aplastic anemia
Iron deficiency anemia
The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is Is the client ready to learn? What is the expected outcome? What teaching aids do I need? How do I evaluate client learning?
Is the client ready to learn?
A nursing instructor is evaluating a student caring for a neutropenic client. The instructor concludes that the nursing student demonstrates accurate knowledge of neutropenia based on which intervention? Monitoring the client's temperature and reviewing the client's complete blood count (CBC) with differential Monitoring the client's breathing and reviewing the client's arterial blood gases Monitoring the client's heart rate and reviewing the client's hemoglobin Monitoring the client's blood pressure and reviewing the client's hematocrit
Monitoring the client's temperature and reviewing the client's complete blood count (CBC) with differential
Which cell of hematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? Myeloid stem cell Lymphoid stem cell Monocyte Neutrophil
Myeloid stem cell
Which cell of hematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? Neutrophil Lymphoid stem cell Monocyte Myeloid stem cell
Myeloid stem cell
A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in his arms and legs. What do these symptoms indicate? Loss of vibratory and position senses Severity of the disease Neurologic involvement Insufficient intake of dietary nutrients
Neurologic involvement
Which is a symptom of severe thrombocytopenia? Petechiae Inflammation of the mouth Inflammation of the tongue Dyspnea
Petechiae
A nurse developed a program of increased ambulation for a patient with an orthopedic disorder. This goal setting is a component of the nursing process known as: Assessment Planning Implementation Evaluation
Planning
Which of the following is considered an antidote to heparin? Protamine sulfate Ipecac Vitamin K Narcan
Protamine sulfate
The school nurse informs the mother of a second-grade student that lice were found in the child's hair. The mother explains to the nurse that she has another child to pick up and cannot stay to receive education related to the treatment of lice at this time. The mother reassures the nurse that she will "look up treatment options on the Internet and take care of the child." What would be the best action of the school nurse in this situation? Provide the mother with a list of credible websites related to the treatment of lice Instruct the mother to treat the other child for lice in the same manner as the second-grade child Perform hand hygiene and notify the second-grade teacher to wash down the classroom Notify the social worker of suspect
Provide the mother with a list of credible websites related to the treatment of lice
An older adult client presents to the health care provider's office and reports exhaustion. The nurse, aware of the most common hematologic condition affecting the elderly, knows that which laboratory values should be assessed? RBC count Thrombocyte count WBC count Levels of plasma proteins
RBC count
An older adult client presents to the health care provider's office and reports exhaustion. The nurse, aware of the most common hematologic condition affecting the elderly, knows that which laboratory values should be assessed? WBC count RBC count Thrombocyte count Levels of plasma proteins
RBC count
The nurse is working at a blood donation clinic. What teaching should the nurse provide to the donor immediately after blood donation? Hold the involved arm below the heart. Remove the band-aid after 5 minutes. Sit up promptly after the needle is removed. Remain for observation after eating and drinking.
Remain for observation after eating and drinking.
The nurse is screening donors for blood donation. Which client is an acceptable donor for blood? Reports having a cold 1 month ago that resolved quickly Received a blood transfusion within 1 year Had a dental extraction 2 days ago for caries in a tooth Has a history of viral hepatitis as a teenager 10 years ago
Reports having a cold 1 month ago that resolved quickly
A pregnant woman is hospitalized as the result of sickle-cell crisis. Which finding indicates the outcome has been achieved for this client? Takes hydroxyurea during her pregnancy Describes the importance of staying cool Exhibits a temperature more than 100.3°F Reports joint pain less than 3 on a scale of 0 to 10
Reports joint pain less than 3 on a scale of 0 to 10
One hour after a transfusion of packed red blood cells (RBCs) is started, a client develops redness on the trunk and reports itching. The nurse stops the RBC infusion and administers diphenhydramine 25 mg po, as ordered. Thirty minutes later, the redness and itching are gone. What action should the nurse take next? Resume the transfusion Obtain blood and urine samples from the client Position the client in an upright position with the feet in a dependent position Send the blood back to the blood bank
Resume the transfusion
A nurse cares for several mothers and babies in the postpartum unit. Which mother does the nurse recognize as being most at risk for a febrile nonhemolytic reaction? Rh-negative mother; Rh-negative child Rh-positive mother; Rh-negative child Rh-positive mother; Rh-positive child Rh-negative mother; Rh-positive child
Rh-negative mother; Rh-positive child
Which type of hemolytic anemia is categorized as inherited disorder? Sickle cell anemia Autoimmune hemolytic anemia Cold agglutinin disease Hypersplenism
Sickle cell anemia
Which type of lymphocyte is responsible for cellular immunity? B lymphocyte Plasma cell T lymphocyte Basophil
T lymphocyte
A patient is taking prednisone 60 mg per day for the treatment of an acute exacerbation of Crohn's disease. The patient has developed lymphopenia with a lymphocyte count of less than 1,500 mm3. What should the nurse monitor the client for? Bleeding The onset of a bacterial infection Diarrhea Abdominal pain
The onset of a bacterial infection
A client is treated for anemia. What is the nurse's best understanding about the correlation between anemia and the client's iron stores? There is a strong correlation between iron stores and hemoglobin levels. There is a strong correlation between iron stores and hemoglobin characteristics. There is an inverse relationship between iron stores and hemoglobin levels. There is a weak correlation between iron stores and hemoglobin levels.
There is a strong correlation between iron stores and hemoglobin levels.
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? Leukopenia Thrombocytopenia Anemia Neutropenia
Thrombocytopenia
While caring for a client, the nurse notes petechiae on the client's trunk and lower extremities. What precaution will the nurse take when caring for this client? Elevate the client's head of the bed. Apply supplemental oxygen to maintain the client's oxygenation. Use an electric razor when assisting client with shaving. Where a mask when entering the client's room.
Use an electric razor when assisting client with shaving.
A nurse is caring for a client with thrombocytopenia. What is the best way to protect this client? Limit visits by family members. Encourage the client to use a wheelchair. Use the smallest needle possible for injections. Maintain accurate fluid intake and output records.
Use the smallest needle possible for injections.
The client is to receive a unit of packed red blood cells. What is the nurse's first action? Observe for gas bubbles in the unit of packed red blood cells. Ensure that the intravenous site has a 20-gauge or larger needle. Verify that the client has signed a written consent form. Check the label on the unit of blood with another registered nurse.
Verify that the client has signed a written consent form.
Which medication is the antidote to warfarin? Vitamin K Aspirin Protamine sulfate Clopidogrel
Vitamin K
A nurse cares for clients with hematological disorders and notes that women are diagnosed with hemochromatosis at a much lower rate than men. What is the primary reason for this? Women lose iron through menstrual cycles Women rarely manifest the gene expression Women have lower hemoglobin levels Women require grater folic acid supplementation
Women lose iron through menstrual cycles
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 has leukopenia. may be developing anemia. may be developing an infection. has thrombocytopenia.
may be developing an infection.
Albumin is important for the maintenance of fluid balance within the vascular system. Albumin is produced by which of the following? Liver Pancreas Kidney Large intestine
Liver
A few minutes after beginning a blood transfusion, a nurse notes that a client has chills, dyspnea, and urticaria. The nurse reports this to the health care provider immediately because the client probably is experiencing which problem? A hemolytic reaction to mismatched blood A hemolytic reaction to Rh-incompatible blood A hemolytic allergic reaction caused by an antigen reaction A hemolytic reaction caused by bacterial contamination of donor blood
A hemolytic allergic reaction caused by an antigen reaction
A nurse has the Petty Family as a client, who consists of a wife, husband, and their 4-year-old daughter. The husband has been unemployed for 8 months, and they lost their apartment. The family has been staying in neighborhood shelters and, on occasion, with the husband's father for a night or two. When evaluating this family, the nurse identifies this family as which type? A multigenerational family A homeless family A blended family An extended family
A homeless family
The nurse is talking with the parents of a toddler who was diagnosed with hemophilia A. What instruction should the nurse give to the parents? Administer factor VIII intravenously at the first sign of bleeding Encourage the toddler to participate in playground activities with other toddlers Administer over-the-counter preparations for a cold Use nasal packing for any nose bleeds TAKE ANOTHER QUIZ
Administer factor VIII intravenously at the first sign of bleeding
A nurse is assigned to care for a patient with ascites, secondary to cirrhosis. The nurse understands that the fluid accumulation in the peritoneal cavity results from a combination of factors including an alteration in oncotic pressure gradients and increased capillary permeability. Therefore, the nurse monitors the serum level of the plasma protein responsible for maintaining oncotic pressure, which is: Globulin. Albumin. Prothrombin. Fibrinogen.
Albumin
A patient is undergoing platelet pheresis at the outpatient clinic. What does the nurse know is the most likely clinical disorder the patient is being treated for? Renal transplantation Extreme leukocytosis Essential thrombocythemia Sickle cell anemia
Essential thrombocythemia
The physician performs a bone marrow biopsy from the posterior iliac crest on a client with pancytopenia. What intervention should the nurse perform after the procedure? Apply pressure over the site for 5-7 minutes Administer a topical analgesic to control pain at the site Elevate the head of the bed to 45 degrees Pack the wound with half-inch sterile gauze
Apply pressure over the site for 5-7 minutes
Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process in a client with leukemia? Implement neutropenic precautions Eliminate direct contact with others who are infectious Apply prolonged pressure to needle sites or other sources of external bleeding Monitor temperature at least once per shift
Apply prolonged pressure to needle sites or other sources of external bleeding
A nurse caring for a client who has hemophilia is getting ready to take the client's vital signs. What should the nurse do before taking a blood pressure? Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints. Ask if taking a blood pressure has ever produced pain in the upper arm. Ask if taking a blood pressure has ever caused bruising in the hand and wrist. Ask if taking a blood pressure has ever produced the need for medication.
Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.
Which is a symptom of hemochromatosis? Bronzing of the skin Inflammation of the mouth Inflammation of the tongue Weight gain
Bronzing of the skin
The nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity. What does the nurse understand is the rationale for this type of exercise? Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate. Isometric exercise decreases the workload of the heart and restores oxygenated blood flow. This type of exercise increases arterial circulation as it returns to the heart. Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
A patient with end-stage kidney disease (ESKD) has developed anemia. What laboratory finding does the nurse understand to be significant in this stage of anemia? Calcium level of 9.4 mg/dL Potassium level of 5.2 mEq/L Creatinine level of 6 mg/100 mL Magnesium level of 2.5 mg/dL
Creatinine level of 6 mg/100 mL
Which term refers to a form of white blood cell involved in immune response? Granulocyte Lymphocyte Spherocyte Thrombocyte
Lymphocyte
Which term refers to a form of white blood cell involved in immune response? Lymphocyte Thrombocyte Spherocyte Granulocyte
Lymphocyte
A client's family member asks the nurse why disseminated intravascular coagulation (DIC) occurs. Which statement by the nurse correctly explains the cause of DIC? "DIC is a complication of an autoimmune disease that attacks the body's own cells." "DIC is caused when hemolytic processes destroy erythrocytes." "DIC occurs when the immune system attacks platelets and causes massive bleeding." "DIC is caused by abnormal activation of the clotting pathway, causing excessive amounts of tiny clots to form inside organs."
"DIC is caused by abnormal activation of the clotting pathway, causing excessive amounts of tiny clots to form inside organs."
A clinical nurse specialist (CNS) is orienting a new graduate registered nurse to an oncology unit where blood product transfusions are frequently administered. In discussing ABO compatibility, the CNS presents several hypothetical scenarios. The new graduate knows that the greatest likelihood of an acute hemolytic reaction would occur when giving: O-positive blood to an A-positive client. B-positive blood to an AB-positive client. A-positive blood to an A-negative client. O-negative blood to an O-positive client.
A-positive blood to an A-negative client.
The nurse is obtaining the health history of a client suspected of having a hematological condition. The nurse notes the client has a history of alcohol abuse. Which clinical presentation is related to alcohol consumption? Myelodysplastic syndrome Anemia Thrombocytopenia Neutropenia
Anemia
Which of the following is the most common hematologic condition affecting elderly patients Leukopenia Thrombocytopenia Anemia Bandemia
Anemia
The nurse is providing discharge instructions to an elderly client. The nurse hands the client a paper about a new medication. The client cannot read. Learning does not occur. In this situation the nurse has failed to assess the Physical readiness of the client Appropriateness of teaching techniques Client's social and cultural patterns Past experiences of the client
Appropriateness of teaching techniques
A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron deficiency anemia? Itching, rash, and jaundice Nights sweats, weight loss, and diarrhea Dyspnea, tachycardia, and pallor Nausea, vomiting, and anorexia
Dyspnea, tachycardia, and pallor
A client with severe anemia is admitted to the hospital. Because of religious beliefs, the client is refusing blood transfusions. The nurse anticipates pharmacologic therapy with which drug to stimulate the production of red blood cells? Filgrastim Sargramostim Epoetin alfa Eltrombopag
Epoetin alfa
A client involved in a motor vehicle accident arrives at the emergency department unconscious and severely hypotensive. The nurse suspects the client has several fractures in the pelvis and legs. Which parenteral fluid is the best choice for the client's current condition? Fresh frozen plasma Packed red blood cells (RBCs) Normal saline solution Lactated Ringer's solution
Packed red blood cells (RBCs)
A nurse is doing a physical examination of a child with sickle cell anemia. When the child asks why the nurse auscultates the lungs and heart, what would be best the response by the nurse? To detect the evidence of infection such as fever and tachycardia To detect the motor strength and stroke-related signs and symptoms To detect the abnormal sounds suggestive of acute chest syndrome and heart failure To detect the evidence of dehydration that might have triggered a sickle cell crisis
To detect the abnormal sounds suggestive of acute chest syndrome and heart failure
One hour after the completion of a fresh frozen plasma transfusion, a client reports shortness of breath and is very anxious. The client's vital signs are BP 98/60, HR 110, temperature 99.4°F, and SaO2 88%. Auscultation of the lungs reveals posterior coarse crackles to the mid and lower lobes bilaterally. Based on the symptoms, the nurse suspects the client is experiencing which problem? Delayed hemolytic reaction Transfusion-related acute lung injury Exacerbation of congestive heart failure Bacterial contamination of blood
Transfusion-related acute lung injury
Vitamin B and folic acid deficiencies are characterized by production of abnormally large erythrocytes called blast cells. megaloblasts. mast cells. monocytes.
megaloblasts
A patient will need a blood transfusion for the replacement of blood loss from the gastrointestinal tract. The patient states, "That stuff isn't safe!" What is the best response from the nurse? "I agree that you should be concerned with the safety of the blood, but it is important that you have this transfusion." "I understand your concern. The blood is carefully screened but is not completely risk free." "You will have to decide if refusing the blood transfusion is worth the risk to your health." "The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood."
"I understand your concern. The blood is carefully screened but is not completely risk free."
The nurse begins a routine blood transfusion of packed red blood cells (PRBCs) at 1100. To ensure client safety, the unit of blood should be completely transfused by what time? 1115 1500 1530 1600
1500
Which client is not a candidate for blood donation according to the American Heart Association?' 18 year old male weighing 52 kg. 50 year old female with pulse 95 beats/minute 86 year old male with blood pressure 110/70 mmHg 26 year old female with hemoglobin 11.0 g/dL
26 year old female with hemoglobin 11.0 g/dL
A nurse cares for a client with anemia requiring nutritional supplementation. Which nursing intervention best promotes client adherence with the prescribed therapy? Develop a therapeutic regimen recommendation for the client. Assist the client to use a medication reminder system for the therapeutic regimen. Assist the client to incorporate the therapeutic regimen into daily activities. Develop a therapeutic regimen based on the client's understanding of the medication.
Assist the client to incorporate the therapeutic regimen into daily activities.
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
A client is found to have a low hemoglobin and hematocrit when laboratory work was performed. What does the nurse understand the anemia may have resulted from? Select all that apply. Abnormal erythrocyte production Destruction of normally formed red blood cells Infection Inadequate formed white blood cells Blood loss
Blood loss Abnormal erythrocyte production Destruction of normally formed red blood cells
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? CBC antibiotic chest radiograph ECG
CBC
The nurse expects which assessment finding when caring for a client with a decreased hemoglobin level? Bright red venous blood. Elevated temperature. Decreased oxygen level. Increased bruising.
Decreased oxygen level.
A client in acute renal failure has been prescribed 2 units of packed red blood cells (PRBCs). The nurse explains to the client that the blood transfusion is most likely needed for which reason? Preparation for likely nephrectomy Increases the effectiveness of dialysis Hypervolemia Lack of erythropoietin
Lack of erythropoietin
The nurse obtains a unit of blood for the client, Donald D. Smith. The name on the label on the unit of blood reads Donald A. Smith. All the other identifiers are correct. What action should the nurse take? Check with the blood bank first and then administer the blood with their permission Refuse to administer the blood Administer the unit of blood Ask the client if he was ever known as Donald A. Smith
Refuse to administer the blood
The health care provider believes that the client has a deficiency in the leukocyte responsible for cell-mediated immunity. What should the nurse check the WBC count for? T lymphocytes Plasma cells Monocytes Basophils
T lymphocytes
A client with megaloblastic anemia reports mouth and tongue soreness. What instruction will the nurse give the client regarding eating while managing the client's symptoms? "Eat larger amounts of bland, soft foods less frequently." "Eat cold, bland foods with a large amount of water." "Eat small amounts of bland, soft foods frequently." "Eat low-fiber blended foods only."
"Eat small amounts of bland, soft foods frequently."
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 part of the required assessment information. 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 may indicate deficiencies in essential nutrients.
The nurse is preparing a patient for a bone marrow aspiration and biopsy from the site of the posterior superior iliac crest. What position will the nurse place the patient in? Supine with head of the bed elevated 30 degrees Lateral position with one leg flexed Jackknife position Lithotomy position
Lateral position with one leg flexed
Which blood cell type is matched correctly with its function? Plasma cell: Cell-mediated immunity T lymphocyte: Humoral immunity Leukocyte: Fights infection B lymphocyte: Secretes immunoglobulin
Leukocyte: Fights infection
A nurse is caring for a client with iron deficiency anemia. Which food or beverage will the nurse suggest to the client to eat or drink when taking supplemental iron? Orange juice Leafy green vegetables Kidney beans Milk
Orange juice
A client is prescribed 325 mg/day of oral ferrous sulfate. What does the nurse include in client teaching? Take 1 hour before breakfast Take with dairy products Decrease intake of dietary fiber Decrease intake of fruits and juices
Take 1 hour before breakfast
A client with pernicious anemia is receiving parenteral vitamin B12therapy. Which client statement indicates effective teaching about this therapy? "I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear." "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 for the rest of my life."
"I will receive parenteral vitamin B12 therapy for the rest of my life."
A client is hospitalized 3 days prior to a total hip arthroplasty and reports a high level of pain with ambulation. The client has been taking warfarin at home, which is now discontinued. To prevent the formation of blood clots, which action should the nurse take? Have the client limit physical activity. Encourage a diet high in vitamin K. Administer the prescribed enoxaparin (Lovenox). Monitor partial thromboplastin (PTT) time.
Administer the prescribed enoxaparin (Lovenox).
A client in end-stage renal disease is prescribed epoetin alfa and oral iron supplements. Before administering the next dose of epoetin alfa and oral iron supplement, what is the priority action taken by the nurse? Questions the administration of both medications Holds the epoetin alfa if the BUN is elevated Ensures the client has completed dialysis treatment Assesses the hemoglobin level
Assesses the hemoglobin level
A client with a history of sickle cell anemia has developed iron overload from repeated blood transfusions. What treatment does the nurse anticipate will be prescribed? White blood cell filter Hepatitis B immunization Chelation therapy Red blood cell phenotyping
Chelation therapy
A client with a history of sickle cell anemia has developed iron overload from repeated blood transfusions. What treatment does the nurse anticipate will be prescribed? White blood cell filter Hepatitis B immunization Red blood cell phenotyping Chelation therapy
Chelation therapy
A nursing instructor in a BSN program is preparing for a lecture on disorders of the hematopoietic system. Included in the lecture are conditions caused by reduced levels or absence of blood-clotting proteins. Which of the following is the instructor most likely referring to? Sickle cell disease Aplastic anemia Pancytopenia Coagulopathy
Coagulopathy
Place the following steps in order when determining the type and severity of a transfusion reaction. Use all options. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1 Stop the transfusion. 2 Assess the client. 3 Notify the health care provider. 4 Notify the blood bank. 5 Send the tubing and container to the blood bank.
Stop the transfusion. Assess the client. Notify the health care provider. Notify the blood bank. Send the tubing and container to the blood bank.
The body responds to infection by increasing the production of white blood cells (WBCs). The nurse should evaluate the differential count for what type of WBCs, which are the first WBCs to respond to an inflammatory event? Basophils Neutrophils Eosinophils Monocytes
Neutrophils
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 report unexplained or severe bruising to my doctor right away." "I'll eat four servings of fresh, dark green vegetables every day." "I'll watch my gums for bleeding when I brush my teeth." "I'll use an electric razor to shave."
"I'll eat four servings of fresh, dark green vegetables every day."
The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption of iron when eating these foods. What can the nurse inform the client would enhance the absorption? Eating calf's liver with a glass of orange juice Eating leafy green vegetables with a glass of water Eating apple slices with carrots Eating a steak with mushrooms
Eating calf's liver with a glass of orange juice
A thin client is prescribed iron dextran intramuscularly. What is most important action taken by the nurse when administering this medication? Employs the Z-track technique Rubs the site vigorously Injects into the deltoid muscle Uses a 23-gauge needle
Employs the Z-track technique
A client receiving a blood transfusion reports shortness of breath, appears anxious, and has a pulse of 125 beats/minute. What is the best action for the nurse to take after stopping the transfusion and awaiting further instruction from the health care provider? Place the client in a recumbent position with legs elevated. Remove the intravenous line. Ensure there is an oxygen delivery device at the bedside. Administer prescribed PRN anti-anxiety agent.
Ensure there is an oxygen delivery device at the bedside.
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? Erythrocytes that are microcytic and hypochromic Erythrocytes that are macrocytic and hyperchromic Clustering of platelets with sickled red blood cells An increased number of erythrocytes
Erythrocytes that are microcytic and hypochromic
The body responds to infection by increasing the production of white blood cells (WBCs). The nurse should evaluate the differential count for what type of WBCs, which are the first WBCs to respond to an inflammatory event? Monocytes Basophils Neutrophils Eosinophils
Neutrophils
