Lippincott chapter 3 the client with hematologic health problems missed questions

111. The charge nurse on a oncology unit is reviewing the policy for using abbreviations with the staff. The charge nurse should emphasize which information about why dangerous abbreviations need to be eliminated. Select all that apply.

-Insurance efficient an accurate communication -Prevent medication errors -Ensure client safety

31. The client with iron deficiency anemia is having trouble selecting food from the hospital menu which food should the nurse suggest to meet in the clients needs for iron. Select all that apply.

-eggs -Brown rice -Dark green vegetables -Oatmeal

34. The healthcare provider prescribes, 0.5 mg of protamine sulfate for a client who is showing signs of bleeding after receiving 100 unit dose of heparin. The nurse should expect the effects of this protamine sulfate to be noted how many minutes

20 minutes

54. The client who had a splenectomy yesterday has a nasogastric tube. What should the nurse assess during the effectiveness of the NG tube?

Absence of abdominal distension

41. The client who is taking aspirin, Kaplets developed prolonging bleeding from a superficial skin injury on the forum. The nurse should tell the client to do which action first.

Applying ice pack for 20 minutes

8. The client is developing a teaching plan for the client with a plastic anemia. Which is the most important to include in the plan.

Avoid exposure to others with acute infections

33. When the client is diagnosed with a plastic anemia, the nurse should assess the client for changes in what physiologic functions.

Bleeding tendencies

27. A client who had received 25 mL of packed red blood cells has low back pain and prutitis after stopping the infusion. What should the action be taken next

Collect blood in urine samples and sent to the lab

82. The nurse is evaluating the clients understanding about combination chemotherapy which statement by the client about reasons for using combination therapy indicates needed for further explanation.

Combination chemotherapy as used to destroy cancer cells and treat side effect simultaneously

110. The nurses administering a medication to a client with my Lloyd leukemia and does not know the used dose or side effect to obtain the most update information about the strug. What should the nurse do?

Consult the drug guide, provided by the clinical Agency

58. A client with disseminated intravascular coagulation develops clinical manifestations of microvascular thrombosis what sign should the nurse report to the healthcare provider?

Focal ischemia

50. The nurse is preparing to administer platelets. What should the nurse do first

Gently rotate the bag

28. The client is to receive epoetin injections. What laboratory values should the nurse assess before giving injection

Hematocrit

77. The client undergoing and to Neil plastic therapy is prescribed subcontintinous epoetin what indicates to the nurse that the drug has been effective?

Hemoglobin levels rise

88. When assessing a client with Hodgkin's disease, the nurse should observe the client for which finding.

Herpes zoster infection

101. The client who does not respond adequately difficulties that has a prescription for an IV infusion of dopamine hydrochloride at five MCG per minute to determine the drug is having the desired effect. What should the nurse assess

Increase cardiac output

7. Which lab value should the nurse report to the healthcare provider when the client has anemia?

Intrinsic factor, absent

13. When administering an injection of vitamin B 12 and which position should the nurse place the client that will decrease discomfort when injecting the medication in the ventral gluteal site

Laying on the abdomen with the toes pointed inward

79. The client with acute lymphatic leukemia is at risk for infection. What should the nurse take?

Place the client in a private room

94. The client with advanced Hodgkins disease is admitted to hospice because death is intimate. What is the most important I said go at this time.

Prevent feelings of isolation

55. The client who had a splenectomy is being discharged. What should the nurse teach the client to do?

Report early signs of infection

17. A client is to have a shillings test. How should the nurse prepare the client for this test?

Start a 24 to 48 hour urine specimen collection

15. Client has fatigue temperature of 99.5 dark brown skin and dark urine hemoglobin is nine hematocrit is 49. What should the nurse do first

Start an intake and output record

92. The client is undergoing a bone marrow aspiration biopsy of the client is very worried about the procedure. What should the nurse do to prepare the client for the procedure?

Suggest the client request the healthcare provider prescribe a sedative

51. Which action by the client indicates that the client has achieved the goal of correctly, demonstrating deep breathing for the cold upcoming splenectomy.

The client takes a deep breath in through the nose, holds for five seconds, and blows out through pierced lips

95. The client is a survivor of non-Hodgkin's, and Phoma which statement indicates the client needs additional information.

The survivor rate is directly proportional to the incidence of a 2nd malignancy

84.The nurse is placing a client with severe neutropenia in reverse isolation. What should the nurse tell the client why this is necessary?

To the client from sources outside the clients environment

52. A client is scheduled for an elective splenectomy. What is the last thing the nurse should determine before the client goes to surgery

Vital signs recorded

104. And assessing the client for early septic shock the nurse should assess the client for which findings.

Warm flushed skin

74. A client with a cute when fodd leukemia is receiving vinKristine. Prior to infusing the drug the nurse administers diphenhydramine. What should the nurse have a client about the purpose of taking diphenhydramine?

decreases incidents of reaction to the vincristine

61. The client who had an exploratory laparotomy three days ago now has a white blood cell count of 15,000 for which clinical manifestation of the laboratory report. Should the nurse assess the client.

— swelling around the incision -Redness around the incision -Elevated temperature

29. When beginning IV erythropoietin therapy, what actions should the nurse take select all that apply

-administer the medication through the IV line without other medication's -I just the initial dose according to the clients changes and blood pressure -Instruct the client to avoid driving performing hazardous activities during the initial treatment

97. Which finding indicates hypovolemic shock an adult who has 15% blood loss.

Systolic blood pressure below 90

42. A client with Thrombocytopenia has developed a hemorrhage, the nurse should assess the client for which finding

Tachycardia

103. The client had been taking more fun has been a minute with severe, acute, rectal bleeding and following laboratory results eight hemoglobin 11 hematocrit which order from first/at the nurse implement the healthcare providers prescription.

-administer IV dextrose 5% in .45 normal saline. -Give one unit fresh from the frozen plasma -Administer vitamin K 2.5 MG by mouth. -Schedule the client for sigmoidoscopy

35. The nurse is to administer subcutaneous happen to an under weight older adult, what faction the nurse keep in mind when administering this medication select all that apply

-administer in the interior area of the iliac crest -Use a 27 gauge needle -cephaloSporan potentiates effects of heparin -Verify the dose with another nurse according to the agency policy

90. The nurses developing a discharge plan with a client who is receiving chemotherapy treatment Lymphoma. What should the nurse include in the plan?

-rest as needed -Avoid people with cold or flu -Contact the healthcare provider if a fever develops

109. When a blood transfusion is terminated following a reaction what actions must the nurse take select all that apply

-send freshly collected urine samples to the laboratory -Return the remainder of the blood component unit to the blood bank -Return that IV administration sent to the blood bank -Alert risk management about the incident

59. The client diagnosed with infectious mononucleosis the white blood cell count is 19,000 the client has strep, ocular throat infection in large spleen and aching muscles. What instruction should the nurse include in discharge planning with the client select all that apply

-stay on bedrest until the temperature is normal -Gargle with warm saline while the throat is irritated -Increase intake of fluids until the infection subsides -Avoid contact sports while the spleen is enlarged

2. A client with iron deficiency anemia is refusing to take the prescribed oral iron medication because the medication is causing nausea. The client is also constipated. What should the nurse take select all that apply

-suggest that the client is ginger when taking the medication -Ask the client what is causing the nausea -Suggest that the client take the iron with orange juice

12. A healthcare provider prescribes vitamin B 12 for a client with preniculous anema which sites are appropriate for the nurse to administer vitamin B 12 two minute adult select all that apply.

-ventral gluteal -Dorsal gluteal

81. An adult client with acute leukemia and healthcare team, established goals of improved title, volume and activity tolerance. What activities would be most helpful to attaining these calls select all that apply.

-walking to increase the number of steps each day -Taking deep breaths, while sitting or laying in bed -Using a stationary bicycle to increase elevation in time

67. The nurse is obtaining consent for bone marrow aspiration which action should the nurse take select all that apply

-what is the client sign in the consent form? -Evaluate the client understands the procedure -Verify the client is signing the consent form of his or her own free will -Determine the client understands post procedure care

24. The nurse is teaching a client newly diagnosed with hemachromatosis about reducing the risk of complications. What information should the nurse include in the teaching plan select all that apply

-you should not take any iron supplements -Read labels on multivitamins and do not use if they contain iron -You should not have drinks are medications contain alcohol

102. The client is receiving dopamine hydrochloride for treatment of shock. What action should the nurse take?

Monitor blood pressure continuously

89. The client with Hodgkin's disease develops be symptoms which symptom is a manifestation of be symptom.

Night sweats

83. In providing care to a client with leukemia who has developed thrombocytopenia, the nurse assesses the most common sites for bleeding, which is not a common site.

Biliary system

53. When receiving a client from the post anesthesia care unit after a splenectomy, the nurse should assess which information next after obtaining vital signs

Dressing

16. When a client is receiving Saffell aspirin, the nurse should monitor the client for which finding.

Drug induced hemolytic, anemia

39. The nurse is teaching the client with platelet disorder is about signs of bleeding. What statement from the client indicates the client has understood the teaching.

Ecchymoses are large, purple skin, bruises

73. The client with chronic myelogenous leukemia is taking imatinib The nurse should instruct the client to report which adverse effects of this drug.

Edema

5. The nurse is preparing to teach a client with iron deficiency anemia about the diet to follow after discharge. What should the nurse include in the diet?

Eggs

3. A client had a mastectomy, followed by chemotherapy six months ago. She reports that she is now unable to concentrate at her card game and it seems harder and harder to finish errands because she's so tired. What should the nurse suggest that the client due to manage exhaustion?

Take frequent naps

26. Which safety measures would be most important to implement when caring for a client who is receiving two units of packed red blood cells select all that apply.

-infuse a unit of packed red blood cells in four hours -Stop the transfusion if a reaction occurs but keep the line open -Inspect the blood bank for leaks, abnormal color and clots

48. The client has been on long-term prednisone therapy. What should the nurse instruct the client to include in the diet select all that apply

-protein -Potassium -Calcium -vitamin D

18. A client with pernicious anemia is receiving vitamin B 12 the nurse should evaluate the client for which expected outcome for vitamin B 12.

Absence of paracentesis

14. The client is admitted from the emergency department after falling down a flight of stairs at home. The client vital signs are stable in the history states that the client had a gastric stapling two years ago. The client jokes about being clumsy lately in tripping over things, the nurse should gather additional information by asking the client which question select all that apply.

-are you experiencing numbness in your extremities? -How much vitamin B 12 are you getting? -Are you feeling depressed? -Do you feel safe at home?

107. Which finding is an indication of complications of septic shock.

Acute respiratory distress syndrome

57. Which is contra indicated for a client diagnosed with dementiated intravascular quadulation.

Administrating, warfarin sodium

56. The nurse should assess the client at wrist for a cute dementiated intro Vasqueur coagulation (DIC) for which early sign.

Bleeding without history or cause

108. The nurse is taken care of two clients are prescribed to receive blood transfusion of packed red blood cells at the same time. The first clients blood pressure dropped from the preoperative value of 120/80 to 150 the second client is hospitalized, because the development of dehydration and anemia. Following pneumonia after checking the patency of the IV lines and vital signs what should the nurse do next

Call four and hang the first clients blood transfusion

64. The nurse is taking care of a client with neutropenia which nursing action is most important in preventing cross contamination.

Changing gloves immediately after use

21. Any post operative client hematocrit to keep her used from 36 to 34 on the third day even though the red blood cell count and he will go environment stable at 4.5 million and 11.9 respectively. What should the nurse do next

Continue to monitor vital signs

47. The nurse is teaching a female client with a history of acquired thrombocytopenia about how to prevent and control hemorrhage. Which statement indicates the client needs further teaching.

I can count the number of tissue saturated to take the blood loss during a nose bleed

37. The client with a history of systemic lupus erythematosus was admitted with severe viral respiratory tract infection in the fused petechie based on those data. What recent information about the client should the nurse assess further.

Length and amount of menstrual flow

86. A client with the suspected diagnosed of Hodgkins disease is to have a biopsy. What should the nurse make sure that personal involved with the procedure to do?

Maintain sterile technique

106. Which nursing intervention is most important in preventing septic shock.

Maintaining a septus in indwelling urinary catheter

96. What is the most important goal of nursing care for a client was in shock.

Manage inadequate to superfusion

6. The nurse should instruct the client with vitamin B deficiency to eat which foods to obtain the best supply of vitamin B.

Meats and dairy products