Quiz 3

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A registered nurse is teaching a student nurse about the treatments given for sickle cell anemia. Which statement made by the student nurse indicates effective teaching?

"Acetaminophen is used to manage pain during vaso-occlusive episodes."

A 39-year-old client complains that he/she feels tired all the time. The client has tachycardia and is pale. The complete blood count with differential reports shows the hemoglobin count as 10 g/dL and the mean corpuscular volume as 75 femoliters. Which condition has the client developed?

Microcytic hypochromic anemia

How does primary thrombocytosis differ from secondary thrombocytosis?

Primary thrombocytosis occurs in the bone marrow.

A nurse is caring for a client who reports with severe bleeding. The primary health-care provider prescribes a diagnostic test that would measure the time taken for the blood to clot and examine the extrinsic pathway of coagulation cascade. Which diagnostic test does the nurse expect to be performed?

Prothrombin time test

A client who has ovarian cancer has undergone surgery. The primary health care provider has prescribed platinum and paclitaxel as the postoperative treatment. Which medication action should the nurse expect in the client?

Reduction in mitosis of cancerous cells

Which type of carcinogenic cells would be present in the central part of the lung as erosion in the proximal bronchus?

Squamous cell carcinoma

Which statement is true regarding megakaryocytes?

They mature into platelets.

Which diagnostic test is most preferred to detect liver cancer?

Alpha-fetoprotein test

Low molecular weight heparin (LMWH) is a class of anticoagulant medications. Which is a characteristic of low molecular weight heparin?

It can be administered subcutaneously.

Which part of the body produces white blood cells?

Bone marrow

The complete blood count report of a client, the enlarged lymph nodes, and epistaxis indicate that the client has developed acute lymphocytis leukemia. What could be the reason for the occurrence of epistaxis in the client?

Crowding of platelets by blast cells

A client reports shortness of breath and severe pain in the back, chest, and muscles. Which condition could the client possibly be diagnosed with?

Disseminated intravascular coagulation

A client has developed microcytic hypochromic anemia. Which dietary intervention should the nurse provide the client?

Foods rich in iron

A nurse is analyzing the report of a 5-year-old client with leukemia, who is receiving chemotherapy. The platelet count is 20,000/microliter. What would be the best intervention for the nurse to include in the client's plan of care?

Initiate protective isolation precautions.

A client with leukemia received chemotherapy 2 days ago and has subsequently developed acute renal failure. Which laboratory result should the nurse assess?

The release of high amounts of uric acid

A nurse is assessing a client who has thyroid cancer and anticipates that the client has a benign tumor. Which finding helped the nurse reach this conclusion?

The sudden onset of pain in the thyroid nodules


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