test 2

The hospitalized client is experiencing gastrointestinal bleeding with a platelets at 9,000/mm³. The client is receiving prednisone and azathioprine. What action will the nurse take? Teach the client to vigorously floss the teeth to prevent infections. Use contact precautions with this client. Perform a neurologic assessment with vital signs. Request a prescription of diphenoxylate and atropine for loose stools.

Perform a neurologic assessment with vital signs.

When assessing a female client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential? Health history, such as bleeding, fatigue, or fainting Lifestyle assessments, such as exercise routines Age and gender Menstrual history

Health history, such as bleeding, fatigue, or fainting

The nurse is teaching a client about the development of leukemia. What statement should be included in the teaching plan? "Chronic leukemia develops slowly." "Acute leukemia develops slowly." "In acute leukemia there are not many undifferentiated cells." "In chronic leukemia, the minority of leukocytes are mature."

"Chronic leukemia develops slowly."

A nurse is providing teaching to a client who will undergo chemotherapy and radiation prior to hematopoietic stem cell transplantation (HSCT) for acute myeloid leukemia (AML). What statement will the nurse use to describe the purpose of the chemotherapy and radiation? "These therapies destroy the bone marrow in an effort to shrink it and decrease your pain." "These therapies decrease your immune system to decrease the risk of allergic reaction." "These therapies destroy the ability of your body to produce blood cells inside your bone marrow." "These therapies shrink your tumor to ensure the stem cell transplant is more effective."

"These therapies destroy the ability of your body to produce blood cells inside your bone marrow.

Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)? A 72-year-old patient with a history of cancer A 24-year-old female taking oral contraceptives A 52-year-old patient with acute kidney injury A 40-year-old patient with a history of hypertension

A 72-year-old patient with a history of cancer

Your client has just been prescribed oral iron. Why would you advise this client to avoid taking their medication with coffee, tea, eggs, or milk? Coffee, tea, eggs, and milk interact with oral iron. Grand mal seizures may result. Absorption of iron will decrease. Untoward reactions may occur.

Absorption of iron will decrease.

Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process in a client with leukemia? MDo not lift more than 10 pounds. Explanation:onitor temperature at least once per shift. Apply prolonged pressure to needle sites or other sources of external bleeding. Eliminate direct contact with others who are infectious. Implement neutropenic precautions.

Apply prolonged pressure to needle sites or other sources of external bleeding.

A client presents with peripheral neuropathy and hypoesthesia of the feet. What is the best nursing intervention? Keep the feet cool. Encourage ambulation. Assess for signs of injury. Elevate the client's legs.

Assess for signs of injury.

A client with AML has pale mucous membranes and bruises on the legs. What is the primary nursing intervention? Check the client's history. Assess the client's hemoglobin and platelets. Assess the client's skin. Assess the client's pulse and blood pressure.

Assess the client's hemoglobin and platelets.

The nursing instructor is talking with their clinical group about coagulopathies. How should the instructor define coagulopathies? Coagulopathies are bleeding disorders that are characterized by a deficiency of globulins in the plasma. Coagulopathies are bleeding disorders that involve platelets or clotting factors. Coagulopathies are bleeding disorders that involve the destruction of stem cells in the bone marrow. Coagulopathies are bleeding disorders that are characterized by abnormalities in the numbers and types of red blood cells in the body.

Coagulopathies are bleeding disorders that involve platelets or clotting factors.

A client with multiple myeloma is complaining about pain. What instructions will the nurse give the client to help to reduce pain during activity? Limit activity to once a day. Limit fluids to prevent going to the bathroom. Do not lift more than 10 pounds. Stay in bed as much as possible.

Do not lift more than 10 pounds.

A client who is being treated for AML has bruises on both legs. What is the nurse's most appropriate action? Evaluate the client's INR. Evaluate the client's platelet count. Keep the client on bed rest. Ask the client whether they have recently fallen.

Evaluate the client's platelet count.

Which term refers to a form of white blood cell involved in immune response? Lymphocyte Spherocyte Thrombocyte Granulocyte

Lymphocyte

A client was admitted to the hospital with a pathologic pelvic fracture. The client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. What does the nurse suspect may be occurring based on these symptoms? Hemolytic anemia Multiple myeloma Polycythemia vera Leukemia

Multiple myeloma

the nurse cares for an older adult client with unprovoked back pain and increased serum protein. Which hematologic neoplasm does the nurse suspect the client has? Chronic myeloid leukemia Multiple myeloma Hodgkin lymphoma Non-Hodgkin lymphoma

Multiple myeloma

The nurse is caring for a client who is developing hypovolemic shock from a duodenal ulcer bleed. What is the first intervention the nurse can provide to facilitate blood flow to the brain? Prepare the client for an endoscopy. Place the client in a modified Trendelenburg position. Test the client for blood in the stool. Administer a crystalloid solution.

Place the client in a modified Trendelenburg position.

The nurse is assisting the client with multiple myeloma to ambulate. What is the most important nursing intervention to help prevent fractures in the client? Encourage adequate nutrition. Promote safety. Provide adequate hydration. Increase mobility.

Promote safety.

The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma? The client with a painful sore throat. The client with painful lymph nodes in the groin. The client with enlarged lymph nodes in the neck. The client with painful lymph nodes under the arm.

The client with enlarged lymph nodes in the neck.

The nurse assesses a patient for late-stage chronic lymphocytic leukemia (CLL) by looking for what? Hepatomegaly. Lymphadenopathy. Splenomegaly. Thrombocytopenia.

Thrombocytopenia.

The nurse in the oncology clinic is caring for a 42-year-old female client receiving chemotherapy with fludarabine for acute myeloid leukemia who has developed petechiae, epistaxis, and ecchymosis. Complete the following sentence by choosing from the lists of options. The nurse anticipates that the client has developed a hemorrhage deep vein thrombosis infection hyperkalemia .and that the laboratory results will reveal thrombocytopenia electrolyte imbalances abnormal renal function tests leukocytosis

hemorrhage and thrombocytopenia