Ch 29: Nonmalignant Hematologic Disorders

Which patient assessed by the nurse is identified as most likely to be affected by sickle cell disease? a) An 14 year old African American boy b) A 26 year old Eastern European Jewish woman c) An 18 year old Chinese woman d) A 28 year old Israeli man

a) An 14 year old African American boy

The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption or iron when eating these foods. Which can the nurse inform the patient will enhance the absorption? a) Eating calf's liver with a glass of orange juice b) Eating leafy green vegetables with a glass of water c) Eating apple slices with carrots d) Eating a steak with mushrooms

a) Eating calf's liver with a glass of orange juice

A patient with sickle cell disease is to begin treatment with hydroxyurea. Which education does the nurse provide about the benefits of treatment with this medication? (select all that apply) a) Fewer painful episodes of sickle cell crisis b) Lower incidence of acute chest syndrome c) Decreased need for blood transfusions d) Decreased need for other analgesic medications e) Ability to reverse the damage done from sickling of cells

a) Fewer painful episodes of sickle cell crisis b) Lower incidence of acute chest syndrome c) Decreased need for blood transfusions

The nurse observes a coworker eating ice frequently. The nurse encourages the coworker to have an examination and diagnostic workup with the health care provider because frequently eating ice may indicate which type of anemia? a) Iron deficiency anemia b) Megaloblastic anemia c) Sickle cell anemia d) Aplastic anemia

a) Iron deficiency anemia

A patient is taking prednisone 60 mg/day for the treatment of an acute exacerbation of Crohn's disease. The patient has developed lymphopenia with a lymphocyte count of less than 1500 mm^3. Which will the nurse monitor the patient for? a) The onset of bacterial infection b) Bleeding c) Abdominal pain d) Diarrhea

a) The onset of bacterial infection

A patient with sickle cell disease, brought to the emergency department by a parent, has a fever of 101.6F, heart rate of 116, a respiratory rate of 32 and bilateral wheezes. Which do these findings indicate to the nurse? a) Pneumocystis pneumonia b) Acute chest syndrome c) An exacerbation of asthma d) Pulmonary edema

b) Acute chest syndrome

The nurse is assessing a patient who reports feeling "constantly tired and very weak." The patient reports a very sore tongue, and upon observing the patient's oral cavity, the nurse notices the tongue is beefy red. Which type of anemia do these findings correlate with? a) Iron deficiency anemia b) Megaloblastic anemia c) Sickle cell anemia d) Aplastic anemia

b) Megaloblastic anemia

The nurse is preparing the patient for a test to determine the cause of vitamin B12 deficiency. The patient will receive a small oral dose of radioactive vitamin B12 followed by a large parenteral dose of nonradioactive B12. Which test is the patient being prepared for? a) Bone marrow aspiration b) Schilling test c) Bone marrow biopsy d) Magnetic resonance imaging (MRI) study

b) Schilling test

A patient describes numbness in the arms and hands with a tingling sensation and frequent stumbling when walking. Which vitamin deficiency does the nurse identify may contribute to some of these symptoms? a)Thiamine b) Folate c) B12 d) Iron

c) B12

A patient with end-stage kidney disease (ESKD) is taking recombinant erythropoietin for treatment of anemia. Which laboratory study will be obtained at least monthly related to this medication? a) Potassium level b) Creatinine level c) Hemoglobin level d) Folate levels

c) Hemoglobin level

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

c) It may indicate deficiencies in essential nutrients

The nurse is assessing a patient who is a strict vegetarian. Which type of anemia is this patient at greatest risk for? a) Iron deficiency anemia b) Aplastic anemia c) Megaloblastic anemia d) Sickle cell anemia

c) Megaloblastic anemia

A patient with sickle cell disease comes to the emergency department reporting severe pain in the back, right hip and right arm. Which action is important for the nurse to perform? a) Administer aspirin b) Administer ibuprofen c) Start an intravenous line with dextrose 5% in 0.24 normal saline d) Begin oxygen at 2L/min

c) Start an intravenous line with dextrose 5% in 0.24 normal saline

A patient with end-stage kidney disease (ESKD) develops anemia. When reviewing the laboratory studies, which finding is significant in this stage of anemia? a) Potassium level of 5.2 mEq/L b) Magnesium level of 2.5 mEq/L c) Calcium level of 9.4 mg/dL d) Creatinine level of 6 mg/100 mL

d) Creatinine level of 6 mg/100 mL

A patient who had gastric bypass surgery 3 years ago is experiencing fatigue. The patient takes pantoprazole for the treatment of frequent heartburn. Which type of anemia is this patient at risk for? a) Aplastic anemia b) Iron deficiency anemia c) Sickle cell anemia d) Pernicious anemia

d) Pernicious anemia