NCLEX Adult Health Hematology

The nurse is preparing a client with thrombocytopenia for discharge. Which statement by the client about measures to minimize injury indicates that discharge teaching was effective? Select all that apply.

-"I will not blow my nose if I get a cold." -"I may continue to use an electric shaver." -"I would use a soft-bristled toothbrush to avoid mouth trauma."

The nurse is conducting staff in-service training on von Willebrand's disease. Which would the nurse include as characteristics of von Willebrand's disease? Select all that apply.

-Easy bruising occurs. -Gum bleeding occurs. -It is a hereditary bleeding disorder. -Treatment and care are similar to that for hemophilia. -The disorder causes platelets to adhere to damaged endothelium.

The nurse is assessing a dark-skinned client for signs of anemia. The nurse would focus the assessment on which structures? Select all that apply.

-Lips -Conjunctiva -Mucous membranes

The nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis who is at risk for vitamin B12 deficiency. The nurse instructs the client to include which foods rich in vitamin B12 in the diet? Select all that apply.

-Meat -Liver

A client with liver dysfunction has low serum levels of fibrinogen and a prolonged prothrombin time (PT). Based on these findings, which actions would the nurse plan to promote client safety? Select all that apply.

-Provide the client with a soft toothbrush. -Instruct the client to use an electric razor. -Monitor all secretions for frank or occult blood.

The nurse is reviewing a pediatrician's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record would the nurse question? Select all that apply.

-Restrict fluid intake. -Give meperidine, 25 mg intravenously, every 4 hours for pain.

The nurse is reviewing the prescriptions for a client admitted to the hospital with a diagnosis of idiopathic autoimmune hemolytic anemia. The nurse prepares the client for treatment of this disorder, understanding that which may be recommended? Select all that apply.

-Transfusions -Splenectomy -Corticosteroid medication -Immunosuppressive agents

The nursing student is presenting a clinical conference and discusses the cause of β-thalassemia. The nursing student informs the group that a child at greatest risk of developing this disorder is which of these?

A child of Mediterranean descent

The nurse is instructing a client with iron-deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction would the nurse tell the client?

Administer the iron through a straw.

The nurse is preparing to instruct the parents of a child with iron-deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction would the nurse give the parents?

Administer the iron through a straw.

A client arrives in the hospital emergency department with a bloody nose. What is the initial nursing action?

Assist the client to a sitting position with the head tilted forward.

A client who was diagnosed with toxic shock syndrome (TSS) now exhibits petechiae, oozing from puncture sites, and coolness of the digits of the hands and feet. Clotting times determined for this client are prolonged. The nurse interprets these clinical signs as being most compatible with which condition?

Disseminated intravascular coagulopathy (DIC)

The nurse is preparing to care for a client with chronic kidney disease and anemia. When planning care, which describes the relationship between chronic kidney disease and anemia?

Decreased production of erythropoietin is causing anemia.

A child with β-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication would the nurse anticipate being prescribed?

Deferoxamine

When obtaining assessment data from a client with a microcytic normochromic anemia, which would the nurse question the client about?

Dietary intake of iron

The clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the need for further instruction?

Fluid overload

A 10-year-old child with hemophilia A has slipped on the ice and bumped the knee. The nurse would prepare to administer which prescription?

Intravenous infusion of factor VIII

The nurse is assessing for the presence of pallor in a dark-skinned client suspected of having anemia. What finding would the nurse look for?

Loss of normal red tones in the skin

The nurse is assessing a dark-skinned client for the presence of petechiae. Which body area is the best for the nurse to check in this client?

Oral mucosa

The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child?

Partial thromboplastin time

Laboratory studies are performed for a client suspected to have iron-deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia?

Red blood cells that are microcytic and hypochromic

Laboratory studies are performed for a child suspected to have iron-deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia?

Red blood cells that are microcytic and hypochromic Submit

The nurse is performing an assessment on a client with a diagnosis of anemia that developed as a result of blood loss after a traumatic injury. The nurse would expect to find which sign or symptom in the client as a result of the anemia?

Shortness of breath with activity

A client enters the hospital emergency department with a nosebleed. On assessment, the client tells the nurse that the nosebleed just suddenly began. The nurse notes no obvious facial injury. Which is the initial nursing action?

Sit the client down, ask the client to lean forward slightly, and apply pressure to the nose for 5 to 10 minutes.

The nurse is preparing home care instructions for the parents of a 10-year-old child with hemophilia. Which sport activity would the nurse suggest for this child?

Swimming