Chapter 33: Management of Patients With Nonmalignant Hematologic Disorders 2

Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit

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?

A hemolytic allergic reaction caused by an antigen reaction

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?

Consult with the physician about discontinuing heparin.

A male client has been receiving a continuous infusion of weight-based heparin for more than 4 days. The client's PTT is at a level that requires an increase of heparin by 100 units per hour. The client has the laboratory findings shown above. What is the most important action for the nurse to take?

Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.

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?

Menorrhagia

The most common cause of iron-deficiency anemia in premenopausal women includes which of the following?

Drink liquid iron preparations with a straw.

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?

B12

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?

Refuses to administer the blood

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?

Health history, such as bleeding, fatigue, or fainting

When assessing a client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential?

Health history, including menstrual history in women

When assessing a client with anemia, which assessment is essential?