Ch 20 - Hematologic Disorders : PrepU

The nurse is teaching the client about consolidation. What statement should be included in the teaching plan? "Consolidation occurs as a side effect of chemotherapy." "Consolidation of the lungs is an expected effect of induction therapy." "Consolidation therapy is administered to reduce the chance of leukemia recurrence." "Consolidation is the term used when a client does not tolerate chemotherapy."

"Consolidation therapy is administered to reduce the chance of leukemia recurrence."

A client with megaloblastic anemia reports mouth and tongue soreness. What instruction will the nurse give the client regarding eating while managing the client's symptoms? "Eat larger amounts of bland, soft foods less frequently." "Eat cold, bland foods with a large amount of water." "Eat low-fiber blended foods only." "Eat small amounts of bland, soft foods frequently."

"Eat small amounts of bland, soft foods frequently."

The nurse is collecting data for a client who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia? "I feel hot all of the time." "I have difficulty breathing when walking 30 feet." "I have a difficult time falling asleep at night." "I have an increase in my appetite."

"I have difficulty breathing when walking 30 feet."

A client with anemia is prescribed an oral iron supplement. Which statement indicates that teaching about this supplement has been effective? "I will take it in the morning with orange juice." "I will stop taking it if my stool turns black." "I will limit my intake of raw fruit and vegetables." "I will be sure to take this medication with food."

"I will take it in the morning with orange juice."

A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin. The nurse teaches the client about warfarin therapy. Which statement by the client indicates the need for further teaching? "I'll report unexplained or severe bruising to my doctor right away." "I'll watch my gums for bleeding when I brush my teeth." "I'll use an electric razor to shave." "I'll eat four servings of fresh, dark green vegetables every day."

"I'll eat four servings of fresh, dark green vegetables every day."

Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)? A 24-year-old female taking oral contraceptives A 52-year-old patient with acute kidney injury A 72-year-old patient with a history of cancer A 40-year-old patient with a history of hypertension

A 72-year-old patient with a history of cancer

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? chest radiograph ECG antibiotic CBC

CBC

A nurse cares for a client with early Hodgkin lymphoma. While assessing the client, the nurse will most likely find painless enlargement of which lymph node? Popliteal Axillary Inguinal Cervical

Cervical

A nurse cares for a client with myelodysplastic syndrome (MDS). Which assessment finding does the nurse recognize is the most common finding with this condition? Microcytic anemia Macrocytic anemia Proliferative anemia Hemolytic anemia

Macrocytic anemia

A client has been diagnosed with polycythemia vera. What is the best instruction for the nurse to give to this client? Bath in tepid or cool water to control itching Take a daily multivitamin with iron supplement Maintain adequate blood pressure control Drink alcohol to decrease blood viscosity

Maintain adequate blood pressure control

A client with acute myeloid leukemia has a fever. What pathophysiological process does the nurse recognize is the cause of the client's fever? Neutropenia Pancytopenia Anemia Thrombocytopenia

Neutropenia

A nurse is caring for a client with multiple myeloma. Which nursing intervention is most appropriate for this client? Restricting fluid intake Monitoring respiratory status Preventing bone injury Balancing rest and activity

Preventing bone injury

A client with polycythemia vera reports gouty arthritis symptoms in the toes and fingers. What is the nurse's best understanding of the pathophysiological reason for this symptom? Excess red blood cells produce extracellular toxins that build up. The dead red blood cells release excess uric acid. The dead red blood cells occlude the small vessels in the joints. Excess red blood cells cause vascular injury in the joints.

The dead red blood cells release excess uric acid.

A client has completed induction therapy and has diarrhea and severe mucositis. What is the appropriate nursing goal? Maintain nutrition. Place the client in reverse isolation. Administer pain medication. Address issues of negative body image.

Maintain nutrition.

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

Osteoclasts break down bone cells so pathologic fractures occur.

The nurse monitors the laboratory data for several clients who are diagnosed with hypoproliferative anemias. For each laboratory data, click to specify if the finding indicates microcytic anemia or megaloblastic anemia. decreased mean corpuscular volume (MCV) decreased vitamin B12 decreased folate increased total iron-binding capacity (TIBC) increased mean corpuscular volume (MCV) decreased reticulocytes

Microcytic Anemia: decreased mean corpuscular volume (MCV) decreased reticulocytes increased total iron-binding capacity (TIBC) Megaloblastic Anemia: increased mean corpuscular volume (MCV) decreased vitamin B12 decreased folate

A client was admitted to the hospital with a pathologic pelvic fracture. The client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. What does the nurse suspect may be occurring based on these symptoms? Multiple myeloma Leukemia Polycythemia vera Hemolytic anemia

Multiple myeloma

A client is preparing to leave the blood bank after donating a unit of blood. Which teaching will the nurse provide to the client at this time? "Avoid smoking for 1 day."' "Eat healthy meals for a few days." "Avoid heavy lifting for several hours." "Increase fluid intake for a week."

"Avoid heavy lifting for several hours."

The nurse is caring for a client with acute myeloid leukemia (AML) with high uric acid levels. What medication does the nurse anticipate administering that will prevent crystallization of uric acid and stone formation? Filgrastim Allopurinol Hydroxyurea Asparaginase

Allopurinol

Which of the following is the most common hematologic condition affecting elderly patients Thrombocytopenia Anemia Bandemia Leukopenia

Anemia

An elderly client is hospitalized for induction of chemotherapy to treat leukemia. The client reports fatigue to the nurse. What nursing intervention would best address the client's fatigue? Have the client maintain complete bedrest. Provide sedentary activities only, such as watching television. Assist the client to sit in a chair for meals. Talk to the family about not visiting so the client can obtain rest.

Assist the client to sit in a chair for meals.

The nurse is providing palliative care for a 69-year-old patient who has a diagnosis of multiple myeloma. The patient states that she enjoyed good health for most of her life and rarely had to visit her family health care provider until she experienced the first signs and symptoms of her current illness. Which of the following complaints most likely prompted the patient to initially seek care? Lymphadenopathy Fatigue and activity intolerance Bone pain Recurrent infections

Bone pain

Which is a symptom of hemochromatosis? Weight gain Inflammation of the tongue Inflammation of the mouth Bronzing of the skin

Bronzing of the skin

A nurse working with clients diagnosed with sickle cell disease notices that sickle cell crisis cases increase in the winter months. What is the primary pathophysiological reason for this? Colder temperatures increases vessel pressures. Colder temperatures worsens sickling. Colder temperatures slows the blood flow. Colder temperatures impairs oxygen uptake.

Colder temperatures slows the blood flow.

The nurse should be alert to which adverse assessment finding when transfusing a unit of packed red blood cells (PRBCs) too rapidly? Oral temperature of 97°F Pain and tenderness in calf area Crackles auscultated bilaterally Respiratory rate of 10 breaths/minute

Crackles auscultated bilaterally

The nurse is reviewing the health history of a client with essential thrombocythemia. Which findings increase the client's risk of developing a complication? Select all that apply. Hypertension Diabetes Osteoarthritis Smoking Obesity

Obesity Smoking Diabetes Hypertension

While assessing a client, the nurse will recognize what as the most obvious sign of anemia? Pallor Jaundice Tachycardia Flow murmurs

Pallor

A nurse is transfusing whole blood to a client with impaired renal function. During the transfusion, the client tells the nurse, "I feel very short of breath all of a sudden." What is the nurse's primary action? Call the health care provider. Slow the infusion. Stop the infusion. Assess the client's vital signs.

Stop the infusion.

A nurse cares for clients with hematological disorders and notes that women are diagnosed with hemochromatosis at a much lower rate than men. What is the primary reason for this? Women have lower hemoglobin levels Women lose iron through menstrual cycles Women rarely manifest the gene expression Women require grater folic acid supplementation

Women lose iron through menstrual cycles

A client has a history of sickle cell anemia with several sickle cell crises over the past 10 years. What blood component results in sickle cell anemia? hemoglobin A hemoglobin M hemoglobin F hemoglobin S

hemoglobin S

The nurse is discussing disorders of the hematopoietic system when a client asked about erythrocytosis. What disease will the nurse mention with a primary characteristic of erythrocytosis? polycythemia vera sickle cell disease aplastic anemia pernicious anemia

polycythemia vera

The nurse is assessing a client admitted with a deep vein thrombosis with an elevated red blood cell count. The admitting diagnosis is polycythemia vera. What is the hallmark clinical sign of PV? weight gain peripheral edema pale body color splenomegaly

splenomegaly

A preoperative client is discussing blood donation with the nurse. Which statement by the client indicates to the nurse the need for further teaching? "I should expect blood withdrawal to take about 15 minutes." "I could donate my own blood in case I need a transfusion." "My family will donate blood, because it's safer." "Donated blood is tested for blood type and infections."

"My family will donate blood, because it's safer."

Which iron-rich foods should a nurse encourage an anemic client requiring iron therapy to eat? Cheese and bananas Lamb and peaches Shrimp and tomatoes Lobster and squash

Lamb and peaches

An older adult client who is a vegetarian has a hemoglobin of 10.2 gm/dL, vitamin B12 of 68 pg/mL (normal: 200-900 pg/mL), and MCV of 110 cubic micrometers. After interpreting the data, what instruction should the nurse give to the client? Change the vegetarian diet and begin to eat red meat. Continue with the diet but include more sources of iron. Supplement the diet with vitamin B12. Ingest a diet higher in vitamin B12 sources.

Supplement the diet with vitamin B12.

Folate deficiency occurs in people who rarely eat which of the following? Fruit Bread Uncooked vegetables Meat

Uncooked vegetables

The physician orders a transfusion with packed red blood cells (RBCs) for a client hospitalized with severe iron deficiency anemia. When blood is administered, what is the most important action the nurse can take to prevent a transfusion reaction? Verify the client's identity according to hospital policy Administer the blood as soon as it arrives Assess the client 30 minutes after the start of the initial transfusion Premedicate the client with acetaminophen

Verify the client's identity according to hospital policy

Which medication is the antidote to warfarin? Clopidogrel Aspirin Vitamin K Protamine sulfate

Vitamin K

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

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

The nurse is teaching a client with acute lymphocytic leukemia (ALL) about therapy. What statement should be included in the plan of care? "Intrathecal chemotherapy is used primarily as preventive therapy." "Treatment is simple and consists of single-drug therapy." "Side effects are rare with therapy." "The goal of therapy is palliation."

"Intrathecal chemotherapy is used primarily as preventive therapy."

A client with multiple myeloma reports pain along the spinal column. The client is prescribed naproxen (Aleve) and oxycodone. Prior to administering these medications, the nurse Questions the physician about the use of both medications Checks the client's BUN and creatinine Teaches the client to bend at the back when lifting objects Instructs the client not to lift more than 20 pounds

Checks the client's BUN and creatinine

A male client has been receiving a continuous infusion of weight-based heparin for more than 4 days. The client's PTT is at a level that requires an increase of heparin by 100 units per hour. The client has the laboratory findings shown above. What is the most important action for the nurse to take? Begin treatment with the prescribed warfarin (Coumadin). Increase the heparin infusion by 100 units per hour. Consult with the physician about discontinuing heparin. Continue with the present infusion rate of heparin.

Consult with the physician about discontinuing heparin.

The charge nurse should intervene when observing a new nurse perform which action after a client has suffered a possible hemolytic blood transfusion reaction? Disposing of the blood container and tubing in biohazard waste. Informing the client to leave a urine sample after the client's next void. Documenting the reaction in the client's medical record. Notifying the blood bank of the reaction.

Disposing of the blood container and tubing in biohazard waste.

A thin client is prescribed iron dextran intramuscularly. What is most important action taken by the nurse when administering this medication? Injects into the deltoid muscle Rubs the site vigorously Employs the Z-track technique Uses a 23-gauge needle

Employs the Z-track technique

A nurse is caring for a client with thrombocytopenia. What is the best way to protect this client? Limit visits by family members. Maintain accurate fluid intake and output records. Encourage the client to use a wheelchair. Use the smallest needle possible for injections.

Use the smallest needle possible for injections.

A client with multiple myeloma is complaining of severe pain when the nurse comes in to give a bath and change position. What is the priority intervention by the nurse? Inform the client that she will feel better after receiving a bath and clean sheets. Inform the client that the position must be changed, and then you will give her pain medication and omit the bath. Inform the client that the bath and positioning is an important part of client care and will be done right after pain medication administration. Obtain the pain medication and delay the bath and position change until the medication reaches its peak.

Obtain the pain medication and delay the bath and position change until the medication reaches its peak.

A client with Hodgkin lymphoma is planning to receive the Stanford V treatment protocol. Which medication teaching will the nurse prepare for this client? Select all that apply. Adriamycin Etoposide Mechlorethamine Vinblastine Doxorubicin

Etoposide Vinblastine Doxorubicin Mechlorethamine

A client who is being treated for AML has bruises on both legs. What is the nurse's mostappropriate action? Keep the client on bed rest. Evaluate the client's platelet count. Evaluate the client's INR. Ask the client whether they have recently fallen.

Evaluate the client's platelet count.

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

low hematocrit.

The nurse is providing teaching to a client diagnosed with chronic myeloid leukemia (CML). Which statement will the nurse include in the teaching on the pathophysiology of the disease? "Abnormally-shaped blood cells cause malfunction of the marrow." "Uncontrolled growth of blood cells causes occlusion in the vessels and tissues." "Abnormally-shaped blood cells cause thickening of the vessels and leads to necrosis of tissue." "Uncontrolled growth of blood cells causes the marrow to expand to organs."

"Uncontrolled growth of blood cells causes the marrow to expand to organs."

A client who has idiopathic thrombocytopenia purpura (ITP) has a critically low platelet count. Which nursing intervention will be included in the care plan for this client? Place the client in a private room Enforce strict contact isolation Administer epoetin alfa Administer eltrombopag

Administer eltrombopag

A client in end-stage renal disease is prescribed epoetin alfa and oral iron supplements. Before administering the next dose of epoetin alfa and oral iron supplement, what is the priority action taken by the nurse? Holds the epoetin alfa if the BUN is elevated Ensures the client has completed dialysis treatment Questions the administration of both medications Assesses the hemoglobin level

Assesses the hemoglobin level

The client has been diagnosed with myelodysplastic syndrome with an absolute neutrophil count less than 1000/mm³ and is being admitted to the hospital. The nurse Assigns the client to a private room Places the client in isolation and allows no visitors Allows unlicensed assistive personnel who reports having a sore throat to provide care Changes the water in the humidifier for oxygen therapy every 48 hours

Assigns the client to a private room

The nurse is caring for a client with type 2 diabetes who take metformin to manage glucose levels. The nurse recognizes the client may be most at risk for which vitamin deficiency? B12 Folate C A

B12

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? Dairy products Berries and orange vegetables Fruits high in vitamin C, such as oranges and grapefruits Beans, dried fruits, and leafy, green vegetables

Beans, dried fruits, and leafy, green vegetables

Which of the following are assessment findings associated with thrombocytopenia? Select all that apply. Hypertension Epistaxis Bradypnea Bleeding gums Hematemesis

Bleeding gums Epistaxis Hematemesis

A client is found to have a low hemoglobin and hematocrit when laboratory work was performed. What does the nurse understand the anemia may have resulted from? Select all that apply. Blood loss Infection Destruction of normally formed red blood cells Abnormal erythrocyte production Inadequate formed white blood cells

Blood loss Abnormal erythrocyte production Destruction of normally formed red blood cells

A client is receiving radiation therapy for lesions in the abdomen from non-Hodgkin's lymphoma. Because of the effects of the radiation treatments, what will the nurse assess for? Diarrheal stools Adventitious lung sounds Hair loss Laryngeal edema

Diarrheal stools

You are caring for a 13-year-old diagnosed with sickle cell anemia. The client asks you what they can do to help prevent sickle cell crisis. What would be an appropriate answer to this client? Avoid any activity that makes you short of breath. Stay on oxygen therapy 24/7. Avoid any sports that tire you out. Drink at least 8 glasses of water every day.

Drink at least 8 glasses of water every day.

The nurse is interacting with a family that has been caring for a client with cancer for several months. What are the best interventions to assist in relieving caregiver stress in this family? Select all that apply. Suggest the family go to church more often. Suggest the prescription of antianxiety medications. Allow family members to express feelings. Suggest support for household maintenance. Educate the family about medications and side effects.

Educate the family about medications and side effects. Allow family members to express feelings. Suggest support for household maintenance.

The nurse observes the laboratory studies for a client in the hospital with fatigue, feeling cold all of the time, and hemoglobin of 8.6 g/dL and a hematocrit of 28%. What finding would be an indicator of iron-deficiency anemia? Clustering of platelets with sickled red blood cells Erythrocytes that are microcytic and hypochromic Erythrocytes that are macrocytic and hyperchromic An increased number of erythrocytes

Erythrocytes that are microcytic and hypochromic

A patient is undergoing platelet pheresis at the outpatient clinic. What does the nurse know is the most likely clinical disorder the patient is being treated for? Extreme leukocytosis Essential thrombocythemia Renal transplantation Sickle cell anemia

Essential thrombocythemia

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? Elevated serum viscosity Hyperproteinemia Elevated red blood cell (RBC) count Hypercalcemia

Hypercalcemia

A nurse provides nutritional information for a patient diagnosed with an iron-deficiency anemia. What education should the nurse provide? Take an iron supplement with meals to reduce gastric irritation. Decrease the intake of high-fat red meats, especially organ meats. Increase the intake of green, leafy vegetables. Decrease the intake of citrus fruits because they interfere with iron absorption.

Increase the intake of green, leafy vegetables.

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? Standard therapy Antimicrobial therapy Induction therapy Supportive therapy

Induction therapy

During the review of morning laboratory values for a client reporting severe fatigue and a red, swollen tongue, the nurse suspects chronic, severe iron deficiency anemia based on which finding? Low ferritin level concentration Enlarged mean corpuscular volume (MCV) Elevated red blood cell (RBC) count Elevated hematocrit concentration

Low ferritin level concentration

A patient with acute myeloid leukemia (AML) has a neutrophil count that persists at less than 100/mm3. What should the nurse cautiously monitor this patient for? Infection Seizure activity Abdominal cramps Hypotension

Infection

A nurse cares for a client with myelodysplastic syndrome who requires frequent PRBC transfusions. What blood component does the nurse recognize as being most harmful if accumulated in the tissues due to chronic blood transfusions? Potassium Hemoglobin Calcium Iron

Iron

A client reports feeling faint after donating blood. What is the nurse's best action? Ambulate client with assistance. Assist the client into high-Fowler's position. Keep client in recumbent position to rest. Place the client in Trendelenburg position.

Keep client in recumbent position to rest.

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? Strategies for managing activity Nutritional modifications necessary for maintaining a low-iron diet Lifestyle modifications and techniques for preventing thromboembolism Maintenance of long-term vascular access device

Lifestyle modifications and techniques for preventing thromboembolism

The hospitalized client is experiencing gastrointestinal bleeding with a platelets at 9,000/mm³. The client is receiving prednisone and azathioprine. What action will the nurse take? Request a prescription of diphenoxylate and atropine for loose stools. Use contact precautions with this client. Teach the client to vigorously floss the teeth to prevent infections. Perform a neurologic assessment with vital signs.

Perform a neurologic assessment with vital signs.

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: Platelet destruction and impaired platelet production resulting from an autoimmune process Impaired liver function and the sequestering of platelets by hepatocytes Inappropriate platelet aggregation on the walls of the great vessels Hemolysis of platelets in individuals who lack immunity to the Epstein-Barr virus

Platelet destruction and impaired platelet production resulting from an autoimmune process

A nurse should expect to administer which vaccine to the client after a splenectomy? Tetanus toxoid Attenuvax Recombivax HB Pneumovax 23

Pneumovax 23

The nurse is assessing a patent with polycythemia vera. What skin assessment data would the nurse determine is a normal finding for this patient? Pale skin and mucous membranes Bronze skin tone Ruddy complexion Jaundice skin and sclera

Ruddy complexion

The nurse is administering a blood transfusion to a client over 4 hours. After 2 hours, the client reports chills and has a fever of 101°F, an increase from a previous temperature of 99.2°F. What does the nurse recognize is occurring with this client? The client is having an allergic reaction to the blood. The client is having decrease in tissue perfusion from a shock state. The client is experiencing vascular collapse. The client is having a febrile nonhemolytic reaction.

The client is having a febrile nonhemolytic reaction.

When teaching about the advantages of autologous blood transfusion to a client, the nurse should include which information? Select all that apply. It resolves anemia for clients with a hemoglobin less than 11g/dL. Blood can be transfused to family members and close relatives. The primary advantage is prevention of viral infections. If not needed immediately, the blood can be frozen for future use. It is safer for clients with a history of transfusion reactions.

The primary advantage is prevention of viral infections. It is safer for clients with a history of transfusion reactions. If not needed immediately, the blood can be frozen for future use.

A nurse is caring for a client with thalassemia who is being transfused. What is the nurse's role during a transfusion? To assess for enlargement and tenderness over the liver and spleen To instruct the client to rest immediately if chest pain develops To closely monitor the rate of administration To administer vitamin B12 injections

To closely monitor the rate of administration

A nurse is doing a physical examination of a child with sickle cell anemia. When the child asks why the nurse auscultates the lungs and heart, what would be best the response by the nurse? To detect the evidence of dehydration that might have triggered a sickle cell crisis To detect the abnormal sounds suggestive of acute chest syndrome and heart failure To detect the evidence of infection such as fever and tachycardia To detect the motor strength and stroke-related signs and symptoms

To detect the abnormal sounds suggestive of acute chest syndrome and heart failure

The nurse is screening donors for blood donation. Which client is an acceptable donor for blood? Received a blood transfusion within 1 year Had a dental extraction 2 days ago for caries in a tooth Has a history of viral hepatitis as a teenager 10 years ago Reports having a cold 1 month ago that resolved quickly

Reports having a cold 1 month ago that resolved quickly

A client with a diagnosis of pernicious anemia comes to the clinic and reports numbness and tingling in the arms and legs. What do these symptoms indicate? Neurologic involvement Severity of the disease Loss of vibratory and position senses Insufficient intake of dietary nutrients

Neurologic involvement

A patient is taking prednisone 60 mg per day for the treatment of an acute exacerbation of Crohn's disease. The patient has developed lymphopenia with a lymphocyte count of less than 1,500 mm3. What should the nurse monitor the client for? The onset of a bacterial infection Diarrhea Bleeding Abdominal pain

The onset of a bacterial infection

The nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity. What does the nurse understand is the rationale for this type of exercise? This type of exercise increases arterial circulation as it returns to the heart. Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart. Isometric exercise decreases the workload of the heart and restores oxygenated blood flow. Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.

Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.

A client wants to donate blood before his or her abdominal surgery next week. What should be the nurse's first action? Tell the client that 2 units of blood will be needed. Explain the time frame needed for autologous donation. Provide the client with a list of the nearest donation centers. Remind the client to take supplemental iron before donation.

Explain the time frame needed for autologous donation.

The nurse is caring for a client with chronic myeloid leukemia (CML). The nurse knows that which symptoms indicate the client is in the accelerated phase of the condition? Select all that apply. Fatigue Bone pain Splenomegaly Confusion Dyspnea

Fatigue Dyspnea Bone pain Splenomegaly

What assessment finding best indicates that the client has recovered from induction therapy? Absence of bone pain Neutrophil and platelet counts within normal limits No evidence of edema Vital signs within normal ranges

Neutrophil and platelet counts within normal limits

A nurse cares for several mothers and babies in the postpartum unit. Which mother does the nurse recognize as being most at risk for a febrile nonhemolytic reaction? Rh-negative mother; Rh-negative child Rh-positive mother; Rh-negative child Rh-positive mother; Rh-positive child Rh-negative mother; Rh-positive child

Rh-negative mother; Rh-positive child

A client at the clinic has just been diagnosed with iron deficiency anemia. What would you recommend the client consume to promote the absorption of iron? Sources of vitamin B12 Rich sources of vitamin C Meat, egg yolks, oysters, and shellfish Vitamin E

Rich sources of vitamin C

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? Assessing the woman's heart rate, rhythm, and circulation Assessing the woman for signs and symptoms of infection Assessing the woman for thrombosis and embolism Assessing the woman for signs and symptoms of fluid volume overload

Assessing the woman for signs and symptoms of infection