Prep U Cellular Regulation

The nurse is teaching a community class about early screening for malignant melanoma. The nurse should be concerned with which questions/concerns raised by audience members?

"I have noticed that the mole on my back is changing shape and has developed an irregular border

A patient with sickle cell anemia is to begin treatment for the disease with hydroxyurea. What does the nurse inform the patient will be the benefits of treatment with this medication? Select all that apply.

-Fewer painful episodes of sickle cell crisis -Lower incidence of acute chest syndrome -Decreased need for blood transfusions

Place the following steps in order when determining the type and severity of a transfusion reaction. Use all options.

1. stop transfusion 2. assess patient 3. notify hcp 4. notify blood bank 5. send container and tubing to blood bank

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

Diagnosis of skin cancer is confirmed by which of the following diagnostic tests?

biopsy

A patient with renal failure has decreased erythropoietin production. Upon analysis of the patient's complete blood count, the nurse will expect which of the following results?

decreased hgb and hct

A client is receiving radiation to the abdominal area as part of cancer treatment. Which assessments findings would the nurse expect to find? Select all that apply.

dermatitis and diarrhea

The nurse is teaching a wellness class to a group of adults. The nurse should tell the group that which factor places a person at the greatest risk for skin cancer?

fair skin and hx of chronic sun exposure

A nurse is reviewing the chart of a patient with megaloblastic anemia. What might be used in the treatment of this patient? (Select all that apply.)

folic acid and Vitamin B12

Which term describes the percentage of blood volume that consists of erythrocytes?

hematocrit (hct)

A patient comes into the clinic complaining of fatigue. Blood work shows an increased bilirubin concentration and an increased reticulocyte count. What would the nurse suspect the patient has?

hemolytic anemia

A 25-year-old client comes to the emergency department with excessive bleeding from a cut sustained when cleaning a knife. Blood work shows a prolonged prothrombin time (PT), but a vitamin K deficiency is ruled out. When assessing the client, areas of ecchymosis are noted on other areas of the body. Which of the following is the most plausible cause of the client's signs and symptoms?

hepatic dysfunction

Splenic sequestration is diagnosed in a client admitted with splenomegaly. What is the priority of care for this client?

hypovolemia

The client's CBC with differential reveals small-shaped hemoglobin molecules. The nurse expects to administer which medication to this client?

iron

For a client with Hodgkin disease who has developed neutropenia, what is an appropriate nursing intervention to include in the care plan?

monitoring temp every 4 hours

When assessing a patient with anemia, the nurse notes that the patient has developed peripheral numbness and poor coordination. The patient's family states that the patient appears to be confused at times at home. Neurologic symptoms most often accompany which type of anemia?

pernicious anemia

A patient's blood work reveals a platelet level of 17,000/mm3. When inspecting the patient's integumentary system, what finding would be most consistent with this platelet level?

petechiae

An older adult client is to receive 2 units of packed red blood cells. During the transfusion of the first unit at 125 mL/hour, the client reports shortness of breath 30 minutes into the process. The client exhibits the vital signs shown in the accompanying table. What is the nurse's best intervention?

slow rate of transfusion and get order for Furosemide

A client diagnosed with breast cancer will have radiation therapy and then begin chemotherapy. Drug therapy will consist of a combination of doxorubicin, cyclophosphamide, and paclitaxel. What should the nurse include in the client's teaching plan concerning the drug therapy? Select all that apply.

take special care when shaving or brushing teeth avoid large crowds and public places whenever possible

While caring for a client, the nurse notes petechiae on the client's trunk and lower extremities. What precaution will the nurse take when caring for this client?

use electric razor when assisting patient with shaving