PN NCLEX 6th Edition Hematological

A client with sickle cell disease has been admitted to the hospital complaining of a sudden onset of severe pain in the extremities, abdomen, back, and chest. In which priority order should the nurse perform the actions listed? Arrange the actions in the order they should be performed. All options must be used.

Administer oxygen. Administer an opioid analgesic. Hydrate the client with normal saline 0.9%. Encourage the client to keep extremities extended. Keep room temperature at or above 72° F.

The nurse is caring for a client with a suspected diagnosis of aplastic anemia. Which tests should the nurse anticipate to be performed to confirm the diagnosis?

Bone marrow aspiration

The nurse is reinforcing instructions to a client with iron deficiency anemia about iron-rich foods. Which food sources should the nurse include in the discharge teaching plan of a client with iron deficiency anemia? Select all that apply.

Eggs Liver

A client has experienced several episodes of sickle cell crisis. Which reinforced instruction should be included in the client's teaching plan to prevent recurrence?

Wear shoes and socks when walking outside to prevent damage to the feet.

The nurse is reviewing the laboratory results of a client receiving chemotherapy. The nurse prepares to initiate neutropenic precautions when the nurse notes which laboratory result?

A white blood cell (WBC) count of 2000 cells/mm3

A client has been diagnosed with disseminated intravascular coagulation (DIC). Which laboratory tests should the nurse anticipate being prescribed? Select all that apply.

D-dimer Hemoglobin Prothrombin time

Which food sources should the nurse include in the discharge teaching plan of a client with cobalamin (vitamin B12) deficiency anemia? Select all that apply.

Eggs Liver Red meats

The nurse is caring for a client with a diagnosis of aplastic anemia. Which are the most likely signs/symptoms associated with aplastic anemia? Select all that apply.

Fatigue Infection Petechiae

The nurse is doing discharge teaching with a client who has sickle cell disease. The nurse reinforces instructions to the client to avoid which factor that could precipitate a sickle cell crisis?

Infection

A client is admitted to the hospital with cobalamin (vitamin B12) deficiency. When taking the client's history, which symptoms would the nurse expect the client to report? Select all that apply.

Muscle weakness Difficulty in walking Numbness in hands

The nurse is caring for a client with thrombocytopenia. Which data should the nurse monitor for related to this condition? Select all that apply.

Purpura Ecchymoses Platelet count less than 150,000 cells/mm3

Which test should the nurse expect to have done for a client suspected of having pernicious anemia?

Schilling test