PNU 133 PrepU Passpoint Immune and Hematologic Disorders

The nurse is reinforcing education to the parents of a child with leukemia about the three main consequences. What should the nurse inform the parents they should monitor for?

anemia, infection, and bleeding tendencies

A female client with human immunodeficiency virus (HIV) receives family-planning counseling. Which statement made by the client about safer sex practices for persons with HIV is accurate?

"A latex condom with spermicide provides the best protection against HIV transmission during sexual intercourse."

A nurse is caring for a client with non-Hodgkin's lymphoma. Which statement indicates that the client diagnosed with non-Hodgkin's lymphoma needs further reinforcement from the education plan?

"If I stay healthy and eat right, I can cure this disease."

A client with autoimmune thrombocytopenia and a platelet count of 8,000/μl develops epistaxis and melena. Treatment with corticosteroids and immunoglobulins has been unsuccessful, and the physician recommends a splenectomy. The client states, "I don't need surgery — this will go away on its own." In considering her response to the client, the nurse must depend on the ethical principle of:

autonomy.

A nurse working in a public health clinic is talking with a teen about having human immunodeficiency virus (HIV) testing. The teen is concerned about people finding out the results. What information can be provided to the client?

"Anonymous testing will allow you to use a private ID number to retrieve your test results."

A nurse is reinforcing education for the parents of a child newly diagnosed with Hodgkin lymphoma. Which statement should the nurse include when reinforcing the education?

"Hodgkin lymphoma is rare before age 5."

A nurse is reinforcing nutritional counseling to the parent of a child with celiac disease. Which statement by the parent indicates understanding of the diet?

"I need to read food labels carefully to avoid gluten additives in foods."

A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy?

"I will receive parenteral vitamin B12 therapy for the rest of my life."

A staff member on the transplant unit is having problems logging into the computer to chart client information. The staff member asks a nurse for their personal identification number (PIN) to log in. What is the nurse's best response?

"I'll be happy to contact Information Services to assist you with the problem."

The nurse is reinforcing teaching instructions to a client with trigeminal neuralgia on how to minimize pain episodes. Which comments by the client would indicate correct understanding of instructions? Select all that apply.

"I'll chew food on the unaffected side." "I'll drink fluids at room temperature." "I'll perform mouth care after meals."

After undergoing testing, a client comes to a physician's office for a follow-up appointment. During the appointment, the physician informs the client that she has systemic lupus erythematosus (SLE). Which resource might be helpful for a nurse to recommend to this client?

A support group for clients with SLE

The nurse is caring for a client diagnosed with chronic thrombocytopenia. Before discharge, the nurse reinforces which activities to the client to decrease excessive bleeding? Select all that apply.

Avoid alcohol. Avoid aspirin and ibuprofen. Check with your health care provider about taking OTC drugs.

A client with suspected lymphoma is scheduled for lymphangiography. The nurse should inform the client that this procedure may cause which harmless, temporary change?

Bluish urine

A client with human immunodeficiency virus (HIV) infection is preparing for discharge from the hospital when he reports to a nurse that he continually feels weak. How should the nurse intervene?

Explain to the client that he should schedule periods of rest throughout the day.

How can a nurse best ensure the safety of a client who has a latex allergy?

Make sure that the latex allergy is properly documented.

A licensed practical nurse (LPN) is coassigned with a registered nurse (RN) for the care of a client with hemophilia. The physician prescribes a blood transfusion for this client. Which task associated with blood transfusion is the responsibility of the LPN?

Monitoring the client during the transfusion

A nurse administers etanercept by subcutaneous injection to a client with ankylosing spondylitis. Which action should the nurse take to prevent a needle-stick injury?

Place the uncapped needle in the designated puncture-resistant container.

Which nursing intervention takes priority for a client with human immunodeficiency virus (HIV) infection?

Protecting the client from infection

When a nurse removes an I.V. from an client with acquired immunodeficiency syndrome (AIDS), blood splashes into the nurse's eyes. What should the nurse do next?

Rinse their eyes with water, report the incident, and go to Employee Health.

A client in a late stage of acquired immunodeficiency syndrome (AIDS) shows signs of AIDS-related dementia. Which nursing diagnosis takes highest priority?

Risk for injury

A child with hemophilia is hospitalized with bleeding into the knee. Which action should the nurse take first?

elevate the affected part

Which instructions should the nurse include when reinforcing education to the parents about caring for a child with chickenpox?

administer antipruritics as ordered

Which nursing action is most important to decrease the risk of postoperative complications in a child with sickle cell anemia?

increasing fluids

The nurse is caring for a teen diagnosed with acute lymphocytic leukemia (ALL). A review of the laboratory report indicates a platelet count of 125,500/?L. When gathering data, which finding is most consistent with this laboratory result?

bruising

A child with Reye syndrome is exhibiting signs of increased intracranial pressure (ICP). Which nursing intervention would be most appropriate for this child?

position the child with the head elevated and the neck in a neutral position

A client is admitted with hemophilia. Which sports should the nurse recommend for this client? Select all that apply.

swimming golf

A nurse is caring for a client with multiple myeloma. Which intervention should be stressed when reinforcing education to the client?

drinking 3 qt (2.8 L) of fluid daily

Which aspect is most important for successful management of the child with Reye syndrome?

early diagnosis

A child is undergoing chemotherapy and will potentially lose their hair. What nursing action will help prepare the child and parents for the hair loss?

explain that, as hair thins, keeping it clean, short, and fluffy may camouflage partial baldness

A client takes prednisone, as prescribed, for rheumatoid arthritis. The nurse should tell the client to look for common adverse reactions to this drug, such as:

fluid retention and weight gain.

A nurse is reviewing the health care provider's prescription for a client who was admitted with fatigue, photosensitivity, and "butterfly" rash on face. Which medication would the nurse expect to find in the client's medication administration record?

hydroxychloroquine

The nurse is working in the emergency department when a child is admitted in sickle cell crisis. Which intervention should the nurse expect to perform?

increase fluid intake and give analgesics

A client is receiving the drug epoetin alfa. Which findings would indicate the effectiveness of the drug?

increase in red blood cells

A client has been taking a decongestant for allergic rhinitis. During a follow-up visit, which data collected by the nurse suggest that the decongestant has been effective?

less sneezing

A client with allergic rhinitis is prescribed loratadine. On a follow-up visit, the client tells the nurse, "I take one 10-mg tablet of Claritin with a glass of water two times daily." The nurse concludes that the client requires additional teaching about this medication because:

loratadine should be taken once daily for allergic rhinitis.

The nurse is caring for a child who has just been diagnosed with sickle cell anemia. Which initial action will be most therapeutic?

offer emotional support

When collecting data on a child with sickle cell anemia, which finding would indicate the child is experiencing vaso-occlusive crisis?

pain with ambulation

A nurse is monitoring a client who's receiving a blood transfusion for volume replacement. The client reports itching about 20 minutes after the infusion begins. What is the priority action by the nurse?

report the symptom so that the infusion can be stopped immediately

A nurse is caring for a client newly diagnosed with Human Immunodeficiency Virus (HIV). Which action by the nurse violates the client's confidentiality?

sharing the client's information with the clergy who is visiting with the client

The nurse is meeting with a client who has recently been diagnosed with human immunodeficiency virus (HIV). The client is concerned about the impact of sharing the recent diagnosis with friends and family. What information can the nurse provide to the client?

sharing the diagnosis with friends and family members will provide a needed source of support

A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client to:

sit upright, leaning slightly forward.

The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should:

wear gloves when providing mouth care.