Unit 6 | Hematology Quiz

A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3. Which of the following interventions should the nurse include? a. avoid IM injections b. assess the client for ecchymosis once per shift c. do not allow the client to have visitors d. encourage daily flossing between teeth

a. Avoid IM injections *the client's platelet count indicates thrombocytopenia; therefore, the nurse should avoid invasive procedures such as an IM injection which can increase the client's risk of bleeding

A nurse is providing discharge teaching for a client who had a bone marrow transplant and has thrombocytopenia. Which of the following statements indicates that the client understands the precautions he must take at home? a. I'll stick with soft foods for now b. My family will be bringing me fresh flowers today c. I'll use a new disposable razor each day d. I'll blow my nose more often to avoid nosebleeds

a. I'll stick with soft foods for now *to prevent bleeding until the client's platelet count has improved, they should avoid hard foods that could cause mouth trauma

A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase consumption of which of the following foods? a. beef liver b. oranges c. turnips d. whole milk

a. beef liver

A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase her consumption of which of the following foods? a. lentils b. avocados c. cabbage d. broccoli

a. lentils *meat, fish, poultry, and dried beans/nuts. 1-cup serving of lentils contains 3.6 mg of iron

A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. When checking the client's laboratory results, which of the following values should the nurse identify as contributing to the client's fatigue and pallor? a. magnesium 2.0 mEq/L b. Hgb 6.5 g/dL c. WBC count 9.6/mm3 d. creatinine 0.8 mg/dL

b. Hgb 6.5 g/dL *indicates anemia. men normal values are 14-18 and women is 12-16

A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan of care? a. restrict fluids to 1,000 mL per day b. measure the client's abdominal girth daily c. check IV sites every 4 hr for bleeding d. administer an enema as needed for constipation

b. measure the client's abdominal girth daily *monitors for manifestations of internal bleeding

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following statements indicates that the client understands the instructions? a. I should try to drink at least 2 liters of fluid per day b. I can still fly out to visit my sister in Colorado for a while c. Physical activity is good for me, but I need to avoid overexertion d. I can still go skiing during the cold winter months

c. Physical activity is good for me, but I need to avoid overexertion

A client who has thrombocytopenia asks the nurse why platelets are so important. Which of the following responses should the nurse make? a. Platelets help the body fight infection b. Platelets help break down clots in the body c. Platelets plug breaks in blood vessels d. Platelets produce the molecules that carry oxygen

c. Platelets plug breaks in blood vessels

A nurse is teaching a client who has polycythemia vera about self-care measures. Which of the following interventions should the nurse include? a. drink at least 1 liter of fluid each day b. continuously wear support hose c. elevate your legs when sitting d. use dental floss daily

c. elevate your legs when sitting *elevation of legs avoids venous pooling with subsequent clot formation

A nurse is preparing a client for a bone-marrow biopsy. Which of the following pieces of information should the nurse include in preoperative teaching? a. you'll receive heavy sedation, so you might even sleep during the procedure b. you'll have to lie on your back throughout the procedure c. you'll feel a painful, pulling sensation when the doctor withdraws the marrow d. expect the procedure to take about an hour

c. you'll feel a painful, pulling sensation when the doctor withdraws the marrow *as well as discomfort from the rotation of the needle into the bone

A nurse is admitting a client who is in sickle cell crisis. Besides pain management, which of the following interventions should the nurse include in the client's plan of care? a. flexion of the extremities b. therapeutic hypothermia c. upright positioning d. ample hydration

d. ample hydration *ample hydration to shorten duration of painful episodes