Unit 3: Hematology

What directions should the nurse provide to a young female adult with sickle cell anemia? Select all that apply A) Drink plenty of fluids when outside in hot weather B) Avoid being in high altitudes where less oxygen available C) Know that pregnancy with sickles disease increases the risk of crisis D) Avoid large crowds

A) Drink plenty of fluids when outside in hot weather B) Avoid being in high altitudes where less oxygen available C) Know that pregnancy with sickles disease increases the risk of crisis

The nurse is preparing to teach a client with iron deficiency anemia about the diet to follow after discharge. Which food should be included in the diet? A) Eggs B) Lettuce C) Citrus Fruits D) Cheese

A) Eggs

A client with thrombocytopenia has developed a hemorrhage. The nurse should assess the client for which finding? A) Tachycardia B) Bradycardia C) Hypertension D) Increased Cardiac Output

A) Tachycardia

A 16-year-old child with sickle cell anemia is experiencing a painful episode (vaso-occlusive crisis). The nurse assesses the child, obtains the child's vital signs, and reviews the child's laboratory test results. What is the priority nursing intervention? A) Provide Oxygen Therapy B) Administer an analgesic C) Initiate a blood transfusion D) Monitor IV Fluids

B) Administer an analgesic

While conducting a physical examination, the nurse suspects a patient is experiencing iron deficiency anemia. Which of the following manifestations would the nurse expect to find? A) Bradycardia B) Fatigue C) Petechiae D) Pruritus

B) Fatigue

Which clinical manifestation does the nurse most likely observe in a client with Hodgkin's disease? A) Difficulty swallowing B) Painless, enlarged cervical lymph nodes C) Difficulty breathing D) A feeling of fullness over the liver

B) Painless, enlarged cervical lymph nodes

The nurse plans to assess a client with a type I hypersensitivity reaction, for which clinical manifestation? A) Poison Ivy B) Hemolytic Anemia C) Allergic Asthma D) Rheumatoid Arthritis

C) Allergic Asthma

The nurse has been teaching an adult who has iron deficiency anemia about foods that need to be include in meal plans. Which of the following, if selected, would indicate to the nurse that the patient understands the dietary instructions? A) Strawberries and citrus fruits. B) Bananas and high fiber nuts. C) Kidney Beans and dark green leafy vegetables. D) Egg whites and milk products.

C) Kidney Beans and dark green leafy vegetables.

A child has been treated for sickle cell crisis. The crisis subsides and the child improves. Which statement is essential for the nurse to include in the discharge teaching? A) Observe your child at night for difficulty breathing. B) Your child will bruise easily so do not let your child bump into things. C) Notify the physician immediately if your child develops a fever. D) Your child will need a special protein diet to follow.

C) Notify the physician immediately if your child develops a fever.

The nurse should instruct the client with a platelet count of 31,000/uL to: A) Asses for signs of infection B) Wear a mask when in crowds of people C) Paid sharp surfaces to avoid minor trauma when walking D) Check for blood in urine

C) Paid sharp surfaces to avoid minor trauma when walking

A patient is being discharged with a white blood cell (WBC) count of 2,000/mm3. Which instruction is the most important for the nurse to include in this patient's discharge teaching plan? A) "Avoid the use of aspirin." B) "Avoid contact sports" C) "Eat a diet high in iron." D) "Use good washing technique."

D) "Use good washing technique."

Twenty-four hours after a bone marrow aspiration, the nurse evaluates which client outcome as an appropriate one? A) The client maintains bed rest B) There is redness and swelling at the aspiration site C) The client requests a strong analgesic for pain D) There is no bleeding at the aspiration site

D) There is no bleeding at the aspiration site

A patient with sickle cell disease is admitted to the hospital with a sickle cell crisis. A priority for the nurse to implement when caring for this patient includes which of the following? A) limit the patient's' intake of IV fluids B) provide high-protein and high-calorie foods C) encourage the patient to ambulate as much as tolerated D) evaluate the effectiveness of opioid analgesics.

D) evaluate the effectiveness of opioid analgesics.