LS1 Week 5 Chapter 33 Management o Pt With Nonmalignant Hematologic Disorders

The nurse should advise a client with iron deficiency anema to take which action in order to prevent staining of the teeth? a. Dilute liquid preparations of iron with juice and drink with a staw b. Avoid taking iron simultaneously with an antacid c. Take iron with or immediately after meals d. Do not combine iron with other prescribed or OTC medications

a. Dilute liquid preparations of iron with jucie and drinkwith a straw

Which is a sx of hemochromatosis? a. Wt. gain b. Bronzing of the skin c. Inflammation of the mouth d. Inflammation of the tongue

b. Bronzing of the skin

Which medication is the antidote warfarin? a. Protamine sulfate b. Clopidogrel c. Vitamin K d. Aspirin

Vitamin K

When assessing a client with a disorder of the hematopoietic or the lymph system, which assessment is most essential? a. Health hx, such as bleeding, fatigue, or fainting b. Lifestyle assessments, such as exercise routines c. Age and gender d. Menstrual hx

a. Health hx, such as bleeding, fatugue, or fainting

For a client dx with pernicious anemia, the nurse emphasizes the importance of lifelong administration of a. Vitamin B12 b. Vitamin C c. Vitamin A d. Folic acid

a. Vitamin B12

A client with sickle cell anemia has a a. low hematocrit b. high hematocrit c. normal hematocrit d. normal blood smear

a. low hematocrit

A client's family member asks the nurse why disseminated intravascular coagulation (DIC) occurs. Which statements by the nurse correctly explain the cause of DIC? a. "DIC occurs when the immune system attacks platelets and causes massive bleeding" b. "DIC is caused by abnormal activation of the clotting pathways, causing excessive amounts of tiny clots to form inside organs" c. "DIC is a complication of an autoimmmune disease that attacks the body's own cells" d. "DIC is caused when hemolytic processes destroy erythrocytes"

b. "DIC is caused by abnormal activation of the clotting pathways, causing excessive amounts of tiny clots to form inside organs"

A client is brought to the ED reporting fatigue, large amounts of bruising on the extremities, and abdominal pain localized in the left upper quadrant. A health history reveals the xlient has been treated for a sore throat three times in the past 2 months Laboratory tests indicate severe anemia, significant neutropenia, and thromboctyopenia. Based on the sx what could be the client's diagnosis? a. Iron deficiency anemia b. Aplastic anemia c. Hemolytic aemia d. Sickle cell anemia

b. Aplastic anemia

During the review of mornig labortory values for a client reporting severe fatigue and a red swollen tongue, the nurse suspects chronic, severe iron deficiency anemia based on which findings? a. Elevated red blood cell count b. Low ferritin level concentration c. Enlarged mean corpusular volume (MCV) d. Elevated hematocrit concentration

b. Low ferritin level concentration

Which term refers to a form of white blood cell involved in immune response? a. Spherocyte b. Lymphocyte c. GRanulocyte d. Thrmobocyte

b. Lymphocyte

The most common cause of iron deficiency anemia in men and postmenopausal women is a. chronic alcoholism b. bleeding c. iron malabsorption d. menorrhagia

b. bleeding

A client with sickle cell crisis is admitted to the hospital in severe pain. While caring for the client during the crisis, which is the priority nursing intervention? a. Limiting the client's intake of oral and IV fluids b. Encouragin the client to ambulate as much as tolerated" c. Aministering and evaluating the effectiveness of opioid analgesics d. Teaching the client about increasing dietary intake of high protein, high calorie foods

c. Administering and evaluationing the effectiveness of opioid analegesics

Which type of sickle crisis occurs as a result of infection with the human parvovirus? a. Sickle cell crisis b. Sequestration crisis c. Aplastic crisis d. Acute chest syndrome

c. Aplastic crisis

Which is a sx of Cooley anemia? a. Inflammation of the tongue b. Inflammation of the mouth c. Bronzing of the skin d. Dyspnea

c. Bronzing of the skin

A client with disseminated intravascular coagulation (DIC) has a critically low fibrinogen level and is beginning to hemorrhage. To increase the amount of fibrinogen in the body, the nurse anticipates administering which blood product? a. Fresh frozen plasma b. Packed red blood cells c. Cryoprecipitate d. Albumin

c. Cryoprecipitate

After teaching a client about taking daily oral iron preparation for a moderate iron difeiciency anemia, which statement by the client indicates to the nurs that additional instruction is needed? a. "I will increase my fluid and fiber intake while I am takingthe iron tablets? b. "I will occationally take a stool softener if I feel constipated" c. "I will take the iron with orange juice about an hour before eating" d. "I will call the doctor if my stools turn black"

d. "I will call the doctor if my stools turn black"

Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process in a client with leukemia? a. Eliminate direct contact with others who are infectious b. Monitor temperature at least once per shift c. Implement neutropenic precautions d. Apply prolonged pressure to needle sites or other sources of external bleeding

d. Apply prolonged pressure to needle sites or other sources of external bleeding

Which term refers to an abnormal decreases in white blood cells, red blood cells, and platelets? a. Leukopenia b. Thrombocytopenia c. Anemia d. Pancytopenia

d. Pancytopenia

When a nurse is planning discharge teaching for a client admitted with sickle crisis, which information should the nurse include in the teaching? a. Take a daily multivitamin with iron b. Drink only one caffeinated beverages daily c. LImit fluids to 2 quarts a day d. Receive pneumococcal and annual inflenza vaccinations

d. Receive pneumococcal and influenza vaccinations

Which type of hemolytic anemia is categorized as inherited disorder? a. Autoimmune hemolytic anemia b. Hypersplenism c. Cold agglutinin disease d. Sickle cell anemia

d. Sickle cell anemia

The nurse should advise a client with iron deficiency anemia to take which action in order to prevent staining of the teeth? a. Take iron with or immediately after meals. b. Do not combine iron with other prescribed or over the counter medications c. Avoid taking iron simultaneously with an antacid d. Use a straw or place a spoon at the back of the mouth to take the liquid supplement.

d. Use a straw or place a spoon at the back

Which medication is the antiodote to warfin? a. Protamin sulfate b. Aspirin c. Clopidogrel d. Vitaimin K

d. Vitamin K

The most common cause of iron deficiency anemia in men and postmenopausal women is a. chronic alcoholism b. iron malabsorption c. menorrhagia d. bleeding

d. bleeding

For a client with Hodgkin disease who has developed neutropenia, what is the most appropriate nursing intervention to include in the care plan? a. Avoiding intramuscular (IM) injections b. Positioning the client to increase lung expansion c. Monitoring temperature every 4 hours d. Omitting fresh fruits and vegetables from the diet

Monitoring temperature every 4 hours

Which cell hematopoiesis is responsible for the production of red blood cells and platelets? a. Neutrophil b. Lymphoid stem c. Monocyte d. Myeloid stem cell

Myeloid stem cell

Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process due to thrombocytopenia in a client with leukemia? a. Implementing neurtopenic precautions b. Apply prolonged pressure to needle sites or other sources of external bleeding c. Monitoring temperature at least once per shift d. Eliminating direct contact with others who are infectious

b. Applying prolonged pressure to needle sites or other sources of external bleeding

When teaching a client with iron deficiency anemia about appropriate food choices, the nurse encourages the client to increase the dietary intake of which foods? a. Dairy products b. Fruits high in vitamin C, such as oranges and grapefruits c. Beans, dried fruits, and leafy, green vegetables d. Berries and orange vegetables

c. Beans, dried fruit, and leafy, green vegetables

Vitamin b and folic acid deficiencies are characterized by production of abnormally large erythrocytes called a. blast cells b. megaloblasts c. mast cells d. monocytes

megaloblasts