Hematologic NCLEX Questions

A client who is receiving a blood transfusion suddenly experiences chills and a temperature of 101F. The client also has a headache and appears flushed. Place the nursing actions in the order in which the nurse should perform them to properly respond to this client's situation. All options must be used. 1. Stop the blood infusion 2. Send the blood bag and administration set to the blood bank 3. Obtain a blood culture from the client. 4. Infuse normal saline to keep the vein open

1,4,3,2

A client is receiving IV heparin for treatment of deep vein thrombosis. Which precautions should the nurse incorporate into the client's plan of care as a result of receiving IV heparin? a) protect the heparin infusion from light to prevent discoloration of the drug. b) Have vitamin K injection available as an antidote to potential heparin overdose c) Establish a separate IV infusion line for administration of other prescribed drugs d) check the client's activated partial thromboplastin time values every other day to monitor for therapeutic anticoagulation.

c) Establish a seperate IV infusion line for administration of other prescribed drugs. Heparin should never be administered through the infusion lines of other drugs, the other drugs should not be piggybacked onto the heparin line. If other drugs need to be administered IV, they require a separate line.

A client's laboratory tests indicate that the client has hypercalcemia. The nurse should assess the client for: a) tingling in the extremities b) depressed reflexes c) diarrhea d) flushed skin

b) depressed reflexes calcium aids nerve impulse transmission, muscle contractions, cardiac contraction and development of bone and teeth. Clinical manifestations of hypercalcemia include lethargy, weakness, depressed reflexes, constipation, polyuria, and bone pain.

When developing the plan of care for a client with aplastic anemia, the nurse should include which goal? a) Learn how to administer weekly vitamin B12 injections b) Describe self-care behaviors to prevent the transmission to family members. c) Correctly demonstrate how to take prescribed anticoagulant drug therapy d) Perform activities of daily living without excessive fatigue or dyspnea

d) Perform activities of daily liing without fatigue or dyspnea

A client is prescribed liquid iron supplements. The nurse evaluates the client's understanding of how to take this drug. Which statement indicates the client has adequate knowledge? a) " I will report any black stools to the health care provider." b) "I will check my gums for any bleeding." c) " I will use antidiarrheal drugs if I develop diarrhea." d) "I will dilute the medication and drink it with a straw."

d)"I will dilute the medication and drink it with a straw." Liquid iron supplements should be diluted and taken through a straw to help decrease the likelihood of staining the teeth. Iron causes constipation, not diarrhea. It is normal for the client's stools to become dark during iron therapy. Iron does not cause bleeding gums