Hematology

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:

You selected: A-positive blood to an A-negative client.

(see full question) Which of the following is the most common hematologic condition affecting elderly patients

You selected: Anemia

Which of the following vitamins enhance the absorption of iron?

You selected: C

A client reports feeling tired, cold, and short of breath at times. Your assessment reveals tachycardia and reduced energy. What would you expect the physician to order?

You selected: CBC

(see full question) For a patient with iron-deficiency anemia, the nurse should advise the patient to do which of the following to prevent staining the teeth?

You selected: Dilute liquid preparations of iron with juice and drink with a straw

Which initial intervention should a nurse perform for a client with external bleeding?

You selected: Direct pressure

When assessing a female patient with a disorder of the hematopoietic or the lymphatic system, which of the following assessments is most essential?

You selected: Health history, such as bleeding, fatigue, or fainting

Which of the following is the percentage of blood volume consisting of erythrocytes?

You selected: Hematocrit

Which of the following describes a red blood cell (RBC) that has pale or lighter cellular contents?

You selected: Hypochromic

(see full question) Which iron-rich foods should a nurse encourage an anemic client requiring iron therapy to eat?

You selected: Lamb and peaches

Which is the following is the most obvious sign of anemia?

You selected: Pallor

A nurse is caring for a client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client?

You selected: Pallor, tachycardia, and a sore tongue

Which of the following terms refers to an abnormal decrease in white blood cells, red blood cells, and platelets?

You selected: Pancytopenia

A young mother with a 2 year old and a 6 month old is experiencing fatigue related to anemia. The client states that she is having difficulty performing the activities needed for her job, family, and home. The nurse assists the client to

Prioritize and balance activities and rest.

Which of the following best describes the function of fibrinogen?

You selected: Plays a key role in forming blood clots

Of the following types of hemolytic anemia, which is categorized as inherited disorder?

You selected: Sickle cell anemia

Which of the following terms refers to a primitive cell, capable of self-replication and differentiation?

You selected: Stem cell

For a patient diagnosed with pernicious anemia, the nurse emphasizes the importance of lifelong administration of which of the following?

You selected: Vitamin B12

(see full question) The most common cause of iron deficiency anemia in men and postmenopausal women is

You selected: bleeding.

Vitamin B and folic acid deficiencies are characterized by production of abnormally large erythrocytes called

You selected: megaloblasts.