chapter 20: Patients with hematologic disorders

A client reports feeling tired, cold, and short of breath at times. Assessment reveals tachycardia and reduced energy. What would the nurse expect the physician to order? a) CBC b) antibiotic c) chest radiograph d) ECG

A) CDC

The nurse is currently planning the care of a patient with multiple myeloma who is experiencing bone destruction. When reviewing the patient's most recent blood work, what value would the nurse pay particular attention to? A) Hypercalcemia B) Hyperproteinemia C) Elevated serum viscosity D)Elevated red blood cell (RBC) count

A) Hypercalcemia

What food should the nurse recommend for a client diagnosed with vitamin B12 deficiency? A)Whole-grain bread B)Citrus fruit C)Green vegetables D) Lean meat

D) lean meat

A patient with AML is having aggressive chemotherapy to attempt to achieve remission. The patient is aware that hospitalization will be necessary for several weeks. What type of therapy will the nurse explain that the patient will receive? A) Induction therapy B)Supportive therapy C)Antimicrobial therapy D)Standard therapy

A) Induction therapy

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

B) Chronic leukemia develops slowly

he nurse is caring for a client with multiple myeloma. Why would it be important to assess this client for fractures? A)Osteopathic tumors destroy bone causing fractures. B)Osteoclasts break down bone cells so pathologic fractures occur. C)Osteolytic activating factor weakens bones producing fractures. D) Osteosarcomas form producing pathologic fractures.

B)Osteoclasts break down bone cells so pathologic fractures occur.

The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has? A)Too many erythrocytes B)A decrease in granulocytes C) A general reduction in all white blood cells D) A general reduction in neutrophils and basophils

C) A general reduction in all white blood cells

After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/mm3. What term should the nurse use to describe this low platelet count? a) Anemia b) Leukopenia c) Thrombocytopenia d) Neutropenia

c) Thrombocytopenia

A nurse on a hematology/oncology floor is caring for a client with aplastic anemia. Which would not be included in the client's discharge instructions? A) Use a disposable razor when shaving. B) Avoid contact with family/friends who are sick. C)Encourage frequent handwashing. D) Plan for frequent periods of rest.

A) Use a disposable razor when shaving

Which is a symptom of hemochromatosis? A)Bronzing of the skin B)Inflammation of the mouth C) Inflammation of the tongue D) Weight gain

A) bronzing of the skin

An otherwise healthy 33-year-old woman experienced debilitating and persistent fatigue over a period of several weeks and was subsequently diagnosed with acute myeloid leukemia (AML). The woman has been admitted to the hospital for treatment. The nurse who is providing care for this patient should prioritize which of the following assessments? A)Assessing the woman for thrombosis and embolism B)Assessing the woman for signs and symptoms of infection C)Assessing the woman's heart rate, rhythm, and circulation D)Assessing the woman for signs and symptoms of fluid volume overload

B) Assessing the women for signs and symptoms of infection

A nurse is caring for a client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client? A)Pallor, bradycardia, and reduced pulse pressure B) Pallor, tachycardia, and a sore tongue C)Sore tongue, dyspnea, and weight gain D) Angina pectoris, double vision, and anorexia

B) Pallor, tachycardia, and a sore tongue

A patient with End Stage Kidney Disease is taking recombinant erythropoietin for the treatment of anemia. What laboratory study does the nurse understand will have to be assessed at least monthly related to this medication? A)Potassium level B)Creatinine level C)Hemoglobin level D) Folate levels

C) hemoglobin level

A client admitted to the hospital with abdominal pain, anemia, and bloody stools reports feeling weak and dizzy. The client has rectal pressure and needs to urinate and move their bowels. The nurse should help them: A) to the bathroom. B) to the bedside commode. C) onto the bedpan. D)to a standing position so he can urinate.

C) onto the bedpan

A 63-year-old woman has been diagnosed with polycythemia vera (PV) after undergoing a series of diagnostic tests. When the woman's nurse is providing health education, what subject should the nurse prioritize? A) Maintenance of long-term vascular access device B) Nutritional modifications necessary for maintaining a low-iron diet C)Strategies for managing activity D)Lifestyle modifications and techniques for preventing thromboembolism

D)Lifestyle modifications and techniques for preventing thromboembolism

A client with a history of sickle cell anemia has developed iron overload from repeated blood transfusions. What treatment does the nurse anticipate will be prescribed? A)White blood cell filter B)Hepatitis B immunization C)Red blood cell phenotyping D) Chelation therapy

D) Chelation therapy Chelation therapy is prescribed to treat iron overload. Hepatitis B immunization helps immunize against hepatitis B. Red blood cell phenotyping helps decreased sensitization. A white blood cell filter protects against cytomegalovirus and some sensitization and febrile reactions.

A patient with a diagnosis of immune thrombocytopenic purpura (ITP) is currently receiving IVIG for the treatment of her health condition. The nurse who is providing this patient's care is aware that ITP is a consequence of: A)Inappropriate platelet aggregation on the walls of the great vessels B)Impaired liver function and the sequestering of platelets by hepatocytes C)Hemolysis of platelets in individuals who lack immunity to the Epstein-Barr virus D)Platelet destruction and impaired platelet production resulting from an autoimmune process

D)Platelet destruction and impaired platelet production resulting from an autoimmune process

A patient with a diagnosis of immune thrombocytopenic purpura (ITP) is currently receiving IVIG for the treatment of her health condition. The nurse who is providing this patient's care is aware that ITP is a consequence of: a) Inappropriate platelet aggregation on the walls of the great vessels b)Impaired liver function and the sequestering of platelets by hepatocytes c)Hemolysis of platelets in individuals who lack immunity to the Epstein-Barr virus d)Platelet destruction and impaired platelet production resulting from an autoimmune process

d)Platelet destruction and impaired platelet production resulting from an autoimmune process