N290 Hematology
The nurse began transfusing the first unit of packed red blood cells (PRBCs) fifteen minutes ago. The client begins complaining of shortness of breath, nausea, and is restless. What is the nurse's priority action?
Stop the infusion.
The nurse recognizes the most common cause of iron deficiency anemia in an adult is which of the following?
Bleeding
A nurse is completing a detailed health history and assessment in the electronic medical record (EMR) on a patient with a disorder of the hematopoietic system. Based on the patient's responses, which of the following symptoms is the most common complaint associated with hematologic diseases?
Extreme fatigue
Which of the following is the percentage of blood volume consisting of erythrocytes?
Hematocrit
A nurse is teaching a patient 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 of the following patient statements?
"I will eat a meat source such as chicken or pork with each meal." Correct
After withdrawing the needle from blood donor's arm, the site begins to bleed excessively. What is the nurse's first action?
Hold firm pressure on the venipuncture site.
A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The physician begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption?
Intrinsic factor
The nurse is providing care for an older adult who has a hematologic disorder. What age-related change in hematologic function should the nurse integrate into care planning?
Older adults are less able to increase blood cell production when demand suddenly increases. Correct
A patient's most recent blood work reveals low levels of albumin. This assessment finding should suggest the possibility of what nursing diagnosis?
Risk for imbalanced fluid volume related to low albumin
When conducting a health assessment on a client suspected for having a hematological disorder, the nurse should collect which data? Select all that apply.
• Medication use • Herbal supplements • Dietary intake • Ethnicity
