Endocrine/Hematology

Calcium

A nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. The nurse should expect to find an increase in which of the following laboratory values? a. Absolute neutrophil count (ANC) b. Calcium c. Platelets d. WBCs

Decrease in level of TSH

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? a. Decrease in level of T4 b. Increase in weight c. Increase in hours of sleep per night d. Decrease in level of thyroid stimulating hormone (TSH)

antibodies, heart valve, transfusion reaction

Causes of hemolytic anemia include which of the following? Select all that apply. a. Antibodies to red blood cells b. Low intrinsic factor c Low folate intake d. Prosthetic heart valve e. Transfusion reaction f. Stem cell failure

Ask about blood in the stool or menorrhagia

The client has been diagnosed with microcytic anemia for an unknown reason. What nursing intervention should be undertaken first? a. Ask about blood in the stool or menorrhagia b. Ask about paresthesias c. Tell the client to eat more spinach and liver d. Teach the client how to cope with fatigue

Add orange juice

The client has been taking iron supplementation without an increase in hemoglobin. What might be a next step? a.. Increase iron in the diet b. Add orange juice when taking iron supplements c. Repeat all the indices d. Add B12 to supplementation

Graft vs. Host

The main complication of a bone marrow or stem cell transplant is: a. Thrombocytopenia b. Leukopenia c. Graft vs. Host disease d. Hemorrhage

Hyperthyroidism

A patient has developed exophthalmos. What endocrine condition do you think of?

ALL

The child is 4 years old and has the most common type of leukemia in children. This means the child likely has: a. ALL b. AML c. CLL d. CML

150,000-450,000 cells/mm3

What is a normal platelet count?

Oliguria

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate? a. Increased thirst b. Weight loss c. Oliguria d. Hypernatremia

It is due to crowding out of erythrocyte-making cells by ALL

A client has ALL. He asks why he is anemic. What does the nurse say? a. It is most likely due to frequent blood draws b. It is probably due to poor dietary intake of iron C. It is due to bleeding tendencies in this condition d. It is due to crowding out of erythrocyte-making cells by ALL

Philadelphia chromosome

A client has CML. What test is done on the bone marrow to confirm the diagnosis? a. The presence of immature blasts b. The presence of young erythrocytes c. The presence of the Philadelphia chromosome d. The presence of stem cells in the bone marrow

Bleeding, oliguria, dizziness

A client has DIC. What should the nurse monitor? Select all that apply. a. Bleeding from the nose or mouth b. High blood pressure c. Jaundice d. Elevated platelet count e. Dizziness

Factor VIII

A client has Hemophilia A. What factor is is lacking? a. Factor VIII b. Thrombin c. Fibrinogen d. Factor IX

Christmas disease

A client has Hemophilia B. How do you educate the client? a. It is a lack of factor XII b. It is also called Christmas disease c. The survival rate is about 11 years of age d. The PTT is usually normal

administer immunoglobulin and steroids

A client has ITP. Nursing interventions include what? a. Monitor for thrombosis b. Administer immunoglobulin and steroids c. Monitor for fever d. Administer FFP

immune-mediated, radiation, chemical exposure

A client has been diagnosed with aplastic anemia. What do you tell the client in the way of education? Select all that apply. a. It is most often immune-mediated b. It can be caused by radiation c. The treatment involves giving iron supplementation d. The cause can be related to a loss of intrinsic factor e. Chemical exposure can cause it f. It rarely causes leukopenia

Alcohol use

A client has folic acid deficiency anemia. What is a cause of this condition? a. Occult blood loss b. Enzyme deficiency leading to low RBC production c. Chronic alcohol use d. Lack of intrinsic factor

Numbness and lack of motion of one arm

A client has hemophilia. Which clinical sign is most worrisome? a. Hemarthrosis b. Ankle bruising c. Blood oozing from the IV site d. Numbness and lack of motion of one arm

Give packed RBCs

A client has iron-deficiency anemia and has shortness of breath and paleness. The hemoglobin is 7.5. What is a nursing priority in this case? a. Give an iron supplement b. Teach the client what a high iron diet is like c. Give packed RBCs d. Tell the client to rest

B12 deficiency

A client has megaloblastic anemia. What is the likely cause? a. Thalassemia b. B12 deficiency c. Iron deficiency d. Acute bone marrow failure

DIC

A client has suddenly developed a condition of clotting and there is a consumption of platelets and clotting factors that eventually leads to bleeding This is called what? a. Von Willebrand's disease b. Factor VIII deficiency c. Disseminated intravascular coagulation d. Thrombocytosis

"Blood is given by screened donors and is tested for HIV so the chances of getting HIV from a blood sample is very small."

A client is afraid of getting HIV from a blood transfusion they are receiving. How does the nurse respond? a. "I've given hundreds of transfusions and no one has ever gotten it." b. "The blood supply is not 100 percent safe. Why don't you get a relative to donate blood to you." c. "Blood is given by screened donors and is tested for HIV so the chances of getting HIV from a blood sample is very small." d. "You are more likely to die if you refuse this transfusion."

Fever and back pain

A client is receiving packed red blood cells. What should alert the nurse to immediately discontinue the transfusion? a. Fever and back pain b. Hypothermia and pale skin c. Dry mouth d. HR of 74 bpm

A rise in hemoglobin and hematocrit

A client received type O- blood but is type B. What should the nurse monitor the client for? a. Fever from a blood type mismatch b. A rise in hemoglobin and hematocrit c. Conversion from being Rh negative to being Rh positive d. Fluid overload

"You should avoid drinking liquids an hour before the treatments."

A client who has chronic lymphocytic leukemia (CLL) is starting chemotherapy treatments and asks if she needs to make any dietary changes. Which of the following statements should the nurse make? a. "You should avoid drinking liquids an hour before treatments." b."Eating low-calorie foods helps prevent nausea." c. "Foods that are higher in fat are usually more appealing." d. "Raw fruits and vegetables will be easier for your body to digest."

"I'm going back to my job in a daycare center tomorrow."

A client with aplastic anemia is being discharged. Which client statement indicates a need for more teaching? a. "I'm nervous about side effects but will call if I have questions." b. "I have a lot of sisters and brothers who can be a match for a bone marrow transplant." c. "I'm going back to my job in a daycare center tomorrow." d. "Diabetes is in my family, so I will check my sugars while on prednisone."

4 hours

A client with severe anemia is getting a blood transfusion. The transfusion must be given within what period of time?

25 percent of their children will have sickle cell disease

A client with sickle cell trait is marrying another with sickle cell trait. How do you counsel them with regard to their children? a. All of their children will have sickle cell trait b. 25 percent of their children will have sickle cell trait c. 25 percent of their children will have sickle cell disease d. Half of their children will have sickle cell disease

TSH

A nurse in a clinic is reviewing the lab values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following lab values? a. TSH b. Free T4 c. Serum T4 d. Serum T3

Bleeding

A nurse is admitting a client who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? a. Neutropenic b. Bleeding c. Contact d. Droplet

A client with nephrotic syncrome

A nurse is admitting a client who has leukemia. Which of the following clients should the nurse place in the same room with this client? a. A client with nephrotic syndrome b. A client recovering from a ruptured appendix c. A client with rheumatic fever d. A client with pneumonia

Decreased TSH

A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results? a. Decreased thyroid-stimulating hormone (TSH) level b. Decreased triiodothyronine (T3) level c. Decreased thyroxine (T4) level d. Decreased thyroid-stimulating immunoglubulins (TSI) percentage

Heat intolerance

A nurse is assessing a client who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect? a. Weight gain b. Bradycardia c. Lethargy d. Heat intolerance

Urine specific gravity of 1.002

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Urine specific gravity of 1.002 b. Bounding peripheral pulses c. Bradycardia d. Moist mucous membranes

Dehydration

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Dehydration b. Polyphagia c. Hyperglycemia d. Bradycardia

Excessive thrombosis and bleeding

A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect? a. Excessive thrombosis and bleeding b. Progressive increase in platelet production c. Immediate sodium and fluid retention d. Increased clotting factors

Frequent mood changes

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations? a. Sensitivity to cold b. Constipation c. Frequent mood changes d. Weight gain of 4.5 kg (10 lb) in 3 weeks

Whole grains

A nurse is assessing a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet? a. Ripe bananas b. Poached eggs c. Whole grains d. Baked chicken

Weight gain

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings? a. Exophthalmos b. Palpitations c. Weight gain d. Diaphoresis

Hyperpigmentation

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect? a. Hyperpigmentation b. Intention tremors c. Hirsutism d. Purple striations

Provide a quiet, low-stimulus environment

A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis? a. Provide a quiet, low-stimulus environment b. Administer aspirin as prescribed for any signs of hyperthermia c. Keep the client NPO d. Observe the client carefully for signs of hypocalcemia

Pain

A nurse is assessing a client who is in sickle cell crisis. Which of the following findings should the nurse expect? a. High fever b. Bradycardia c. Pain d. Constipation

Fatigue

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect? a. Fatigue b. Hypertension c. Bradycardia d. Diarrhea

Report of low-back pain

A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings is a manifestation of a hemolytic transfusion reaction? a. Hypertension b. Report of low-back pain c. Pallor d. Report of metallic taste

Stop the infusion of blood

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain and the client's blood pressure is 80/64 mmHg. Which of the following actions should the nurse take first? a. Stop the infusion of blood b. Inform the provider c. Obtain a urine specimen d. Notify the lab

Insomnia

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? a. Insomnia b. Constipation c. Drowsiness d. Hypoactive deep-tendon reflexes

Tingling of the extremities

A nurse is caring for a client who had a total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect? a. Tingling of the extremities b. Hypoactive deep tendon reflexes c. Shortened QT intervals d. Constipation

AMI is mediated by antibodies produced by B-lymphocytes

A nurse is caring for a client who had an anaphylactic reaction after a blood transfusion. The nurse reviews the literature to further understand antibody-mediated immunity (AMI). Which of the following information should the nurse confirm about AMI? a. AMI is mediated by antibodies produced by B-lymphocytes b. Humoral immune response is mediated by T-lymphocytes c. AMI involves phagocytic natural killer cells d. AMI defends only against viral infections

Weigh the client daily

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take? a. Provide a low-carbohydrate diet b. Weigh the client daily c. Administer oral corticosteroids d. Restrict fluid intake

Teach the client about cortisol replacement therapy

A nurse is caring for a client who has Addison's disease. Which of the following actions should the nurse take? a. Teach the client about cortisol replacement therapy b. Place the client on a low-sodium diet c. Monitor the client for fluid volume excess d. Discuss the manifestations of hyperglycemia with the client

Moon face, purple striations, buffalo hump

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? Select all that apply. a. Tremors b. Moon face c. Purple striations d. Buffalo hump

blood glucose level, neck vein distention, weight

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? Select all that apply. a. Assess blood glucose level b. Assess for neck vein distention c. Monitor for an irregular heart rate d. Monitor for postural hypotension e. Weight the client daily

"Taking the medication between meals will help you absorb the medication more efficiently."

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make? a. "Taking the medication between meals will help you avoid becoming constipated." b. "Taking the medication with food increases the risk of esophagitis." c. "Taking the medication between meals will help you absorb the medication more efficiently." d. "The medication can cause nausea if taken with food."

A decrease in urine output

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? a. A decrease in blood sugar b. A decrease in blood pressure c. A decrease in urine output d. A decrease in specific gravity

Protective

A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? a. Airborne b. Protective c. Contact d. Droplet

Semi-Fowler's with neck in a neutral position

A nurse is caring for a client who is 8 hours postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client? a. High Fowler's with neck extended b. High Fowler's with neck in a neutral position c. Semi-Fowler's with neck extended d. Semi-Fowler's with neck in a neutral position

Verify the most recent calcium level

A nurse is caring for a client who is day 1 postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take? a. Check the pedal pulses b. Verify the most recent calcium level c. Request a prescription for a relaxant d. Administer an oral potassium supplement

Chvostek's sign

A nurse is caring for a client who is postoperative day 1 following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? a. Chvostek's sign b. Babinski's sign c. Brudzinski's sign d. Kernig's sign

Sternum

A nurse is caring for a client who is scheduled for a bone marrow aspiration. The client asks the nurse about the sites the provider might use for the procedure. Which of the following locations should the nurse identify as one of the sites used for this procedure? a. Femur b. Humerus c. Sternum d. Ribs

Schilling test

A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests? a. Sweat test b. Haptoglobin c. Antinuclear antibodies d. Schilling test

Iron-deficiency anemia

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia? a. Folic acid deficiency anemia b. Pernicious anemia c. Iron-deficiency anemia d. Sickle cell anemia

Recombinant

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products? a. Recombinant b. Packed RBCs c. Prophylactic antibiotics d. Fresh frozen plasma

Serve cooked fruit with meals

A nurse is caring for an older adult who has a WBC count of 2000 after three rounds of chemotherapy. Which of the following actions should the nurse take? a. Humidify the client's room b. Serve cooked fruit with meals c. Clean dentures in a denture cup d. Replace the water in the flower vases with fresh water daily

Vitamin C

A nurse is instructing a group of clients about nutrition and eating foods high in iron. The nurse should include that which of the following aids in the absorption of iron? a. Fiber b. Vitamin A c. Vitamin C d. Oxalates

Airway patency

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor? a. Airway patency b. Temperature c. Urination d. Pain control

Check urine specific gravity

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care? a. Measure blood glucose levels every 4 hours b. Administer a diuretic c. Initiate fluid restrictions d. Check urine specific gravity

Limit visitors to healthy adults

A nurse is planning care for a client who has an absolute neutrophil count (ANC) less than 1000. Which of the following interventions should the nurse include in the plan? a. Take the client's rectal temperature each day b. Increase raw produce in the client's diet c. Limit visitors to healthy adults d. Instruct the client to floss his teeth daily

Vitamin B12 injections

A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse plan to implement? a. Vitamin B12 injections b. Iron supplements c. Blood transfusions d. Vitamin B6 supplements

Check the client's voice every 2 hours

A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan? a. Instruct the client to deep breathe every 4 hours b. Check the client's voice ever 2 hours c. Place the head of the client's bed in the flat position d. Hyperextend the client's neck

Keep blood pressure equipment in the client's room

A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take? a. Place the client in a negative airflow room b. Keep blood pressure equipment in the client's room c. Monitor the client's vital signs once every 8 hours d. Provide the client with 1000 mL of water to drink every 12 hours

Lung cancer

a nurse is collecting the medical history from a client who has manifestations of SIADH. The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH? a. Osteoarthritis b. Lung cancer c. Liver cirrhosis d. Dyspepsia

Verify the provider's order with another RN; scan the barcode on the client's ID bland; compare client ID number to the blood component tag number

A nurse is preparing to administer blood to a client. Which of the following actions should the nurse take to identify the client? Select all that apply. a. Verify the provider's order with another RN b. Confirm that the room number matches the medical record c. Scan the barcode on the client's identification band d. Ask the client to verbalize if blood type is Rh negative or positive e. Compare client identification number to the blood component tag number

2 tablets

A nurse is preparing to administer levothyroxine 0.175 mg PO once daily. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose?

Restrict sodium intake

A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching? a. Limit intake of potassium-rich foods b. Restrict sodium intake c. Increase carbohydrate intake d. Decrease protein intake

Tomato juice

A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron? a. Tea b. Milk c. Tomato juice d. Dried beans

Take the medication with orange juice to enhance absorption

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide? a. Take the medication on an empty stomach to decrease GI irritation b. Take the medication with orange juice to enhance absorption c. Take the medication with milk d. Rinse the mouth before taking the iron

Soy

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? a. Saw palmetto b. Cranberry c. Soy d. Garlic

Avoid crowds

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching? a. Eat plenty of fresh fruits and vegetables b. Avoid crowds c. Perform mild exercise, such as gardening d. Take temperature weekly

The lab values are prolonged

A nurse is reviewing the PT, aPTT, and INR lab values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following lab results should the nurse expect? a. The lab values are within the expected reference range b. The lab values are prolonged c. The lab values are decreased d. The lab values are the same as the previous lab values

decreased platelets, decreased leukocytes, decreased erythrocytes

A nurse is reviewing the lab results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic lab values should the nurse expect? Select all that apply. a. Decreased platelet count b. Increased hemoglobin count c. Increased platelet count d. Decreased erythrocyte count e. Decreased leukocyte count

Fibrinogen 85 mg/dL

A nurse is reviewing the lab values of a client who is at risk for disseminated intravascular coagulopathy (DIC). Which of the following values should the nurse report to the provider? a. Platelets 156,000/mm3 b. PT 12 seconds c. PTT 64 seconds d. Fibrinogen 85 mg/dL

A client who has a phosphate of 5.7 mg/dL

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism? a. A client who has a vitamin D of 25 ng/mL b. A client who has a magnesium of 1.8 mEq/L c. A client who has a calcium of 9.8 mg/dL d. A client who has a phosphate of 5.7 mg/dL

"This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

A nurse is talking with a client whose TSH level will be measured. Which of the following statements by the nurse explains the purpose of this test? a. "This test measures the amount of thyroid hormone that attaches to a protein in your blood." b. "This test detects antithyroid antibodies in your blood." c. "This test measures the absorption of iodine and how it relates the the thyroid gland." d. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

Disabling joint pain

A nurse is teaching a client who has a family history of hemophilia A about manifestations of the disorder. The nurse should include which of the following manifestations in the teaching? a. Frequent rapid bleeding b. Tendency to bruise minimally c. Immediate clotting from a minor cut d. Disabling joint pain

c. Take the ferrous sulfate between meals

A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching? a. Take the ferrous sulfate at bedtime b. Take the ferrous sulfate with an antacid c. Take the ferrous sulfate between meals d. Take the ferrous sulfate with yogurt

Chicken

A nurse is teaching a client who is at risk for iron-deficiency anemia about optimizing her dietary intake of iron. The nurse should explain that which of the following sources of iron is easiest for the body to absorb? a. Spinach b. Cantaloupe c. Chicken d. Lentils

Spinach and beef

A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan? a. Yogurt and mozzarella b. Spinach and beef c. Milk and turkey slices d. Fish and cottage cheese

"I will apply heat."

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching? a. "I will have my child rest." b. "I will elevate the affected part." c. "I will compress the site." d. "I will apply heat."

Addison's disease

A patient has a new finding of increased pigmentation of the skin in the absence of sun or tanning bed exposure. What endocrine condition do you think of?

Hypothyroidism

A patient has fatigue, is cold all the time, and has constipation, weight gain, and dry skin. What endocrine problem is most likely considered?

Posterior pituitary gland, urine concentrated, risk for hyponatremia, abrupt weight gain

A patient has just been diagnosed with SIADH. What can you tell the patient in terms of education? Select all that apply. a. It is a problem with the posterior pituitary gland b. The patient will put out a great deal of urine c. The urine will be very concentrated d. The patient is at risk for hyponatremia e. The patient will have an abrupt weight gain

Absence of vasopressin from the posterior pituitary gland, insatiable thirst, increased urine output

A patient has just been diagnosed with diabetes insipidus. What can you tell the patient in the way of patient education?Select all that apply. a. It is a disorder of the adrenal glands b. It involves an absence of vasopressin from the posterior pituitary gland c. It involves having an insatiable thirst d. It involves having a great deal of urine output e. Fluid restriction will help the condition

Chest pain, cough, hypoxia

A sickle cell patient is having an exacerbation. What might the symptoms be? a. Chest pain, cough, hypoxia b. Atrial fibrillation c. Hypertension d. Jaundice

"It is caused by the lack of production of aldosterone by the adrenal gland."

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make? a. "It is caused by the lack of production of insulin by the pancreas." b. "It is caused by the lack of production of aldosterone by the adrenal gland." c. "It is caused by the overproduction of growth hormone by the pituitary gland." d. "It is caused by the overproduction of parathormone by the parathyroid gland."

Administration of blood products, cryoprecipitate, and FFP

Appropriate nursing interventions for DIC includes what? a. Administration of blood products, cryoprecipitate, fresh frozen plasma b. Monitor bleeding time c. Give glucocorticoids d. Administering clotting factors

Pernicious anemia

The client has had a partial gastrectomy two months ago. What kind of anemia is the client likely to have? a. Iron deficiency anemia b. Folate deficiency anemia c. Pernicious anemia d. Thalassemia

.Erythrocytes

The most common cell type in peripheral blood is what? a. stem cells b. erythrocytes c. leukocytes d. platelets

Blood clotting, transportation of O2 and CO2 to the body's cells, fighting off infection

The nurse describes the function of the hematological system by indicating it does what? Select all that apply. a. Blood clotting b. The exchange of O2 with CO2 in the alveoli c. The transportation of O2 and CO2 to the body's cells d. The fighting off of infection e. The breakdown of waste products out of the liver f. The movement of lymph through the lymph nodes

Epinephrine and norepinephrine

The patient is experiencing tachycardia, increased blood pressure, and anxiety. What endocrine hormone is likely responsible for the symptoms? a. Cortisol and ADH b. ADH and triiodothyronine c. Thyroxine d. Epinephrine and norepinephrine

Erythropoiesis

Which condition is not considered a part of a sickle cell anemia crisis? a. Aplastic b. Vaso-occlusive c. Spleen sequestration d. Erythropoiesis

Thyroid attacked by immunoglobulins; jittery, nervous, or tense; hypertrophy of the heart and heart failure

Your patient has been diagnosed with Grave's disease. What chan you tell her in the way of education? Select all that apply. a. Thyroid gland is underactive b. Thyroid gland is being attacked by immunoglobulins c. You may feel jittery, nervous, or tense d. You run the risk of hypertrophy of the heart and heart failure e. Your heart rate will be low