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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? An increased number of erythrocytes Erythrocytes that are macrocytic and hyperchromic Erythrocytes that are microcytic and hypochromic Clustering of platelets with sickled red blood cells SUBMIT ANSWER

A blood smear reveals erythrocytes that are microcytic (smaller than normal) and hypochromic (lighter in color than normal). It does not reveal macrocytic (larger than normal) or hyperchromic erythrocytes. Clustering of platelets with sickled red blood cells would indicate sickle cell anemia. An increase in the number of erythrocytes would indicate polycythemia vera.

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

Anemia

Which of the following nursing interventions should be incorporated into the plan of care to manage the delayed clotting process due to thrombocytopenia in a patient with leukemia? Implementing neutropenic precautions Applying prolonged pressure to needle sites or other sources of external bleeding Monitoring temperature at least once per shift Eliminating direct contact with others who are infectious SUBMIT ANSWER

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

Question 2 of 5 A nurse caring for a client who has hemophilia is getting ready to take the client's vital signs. What should the nurse do before taking a blood pressure? Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints. Ask if taking a blood pressure has ever produced pain in the upper arm. Ask if taking a blood pressure has ever caused bruising in the hand and wrist. Ask if taking a blood pressure has ever produced the need for medication. SUBMIT ANSWER Exit quiz

Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.

Question 4 of 5 Which of the following is a symptom of Hemochromatosis? Bronzing of the skin Inflammation of the mouth Inflammation of the tongue Weight gain SUBMIT ANSWER Exit quiz

Bronzing of the skin Patients with Hemochromatosis exhibit symptoms of weakness, lethargy, arthralgia, weight loss, and loss of libido early in the illness trajectory. The skin may appear hyperpigmented from melanin deposits or appear bronze in color.

Question 5 of 5 A patient with end-stage kidney disease (ESKD) has developed anemia. What laboratory finding does the nurse understand to be significant in this stage of anemia? Magnesium level of 2.5 mg/dL Creatinine level of 6 mg/100 mL Calcium level of 9.4 mg/dL Potassium level of 5.2 mEq/L SUBMIT ANSWER Exit quiz

Creatinine level of 6 mg/100 mL

Question 5 of 5 An 89-year-old client is preparing to leave the physician's office. The nurse is discussing with the client some strategies for ingesting iron to combat her iron-deficiency anemia. Which of the following are among the nurse's strategies? Avoid vitamin C—it prevents absorption. Take iron with an antacid to avoid stomach upset. Taking iron pills with milk aids in absorption. Drink liquid iron preparations with a straw. SUBMIT ANSWER Exit quiz

Drink liquid iron preparations with a straw. Dilute liquid preparations of iron with another liquid such as juice and drink with a straw to avoid staining the teeth. Avoid taking iron simultaneously with an antacid, which interferes with iron absorption. Drink orange juice or take other forms of vitamin C with iron to promote its absorption.

Question 1 of 5 A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron deficiency anemia? Itching, rash, and jaundice Dyspnea, tachycardia, and pallor Nausea, vomiting, and anorexia Nights sweats, weight loss, and diarrhea SUBMIT ANSWER Exit quiz

Dyspnea, tachycardia, and pallor

The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption of iron when eating these foods. What can the nurse inform the client would enhance the absorption? Eating calf's liver with a glass of orange juice Eating leafy green vegetables with a glass of water Eating apple slices with carrots Eating a steak with mushrooms

Eating calf's liver with a glass of orange juice

x A client is recovering from thoracic surgery needed to perform a right lower lobectomy. Which of the following is the most likely postoperative nursing intervention? Encourage coughing to mobilize secretions. Restrict intravenous fluids for at least 24 hours. Make sure that a thoracotomy tube is linked to open chest drainage. Assist with positioning the client on the right side.

Encourage coughing to mobilize secretions.

Question 4 of 5 Which of the following describes a red blood cell (RBC) that has pale or lighter cellular contents? Hypochromic Hyperchromic Normocytic Microcytic SUBMIT ANSWER Exit quiz

Hypochromic

Question 1 of 5 A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin (Coumadin). 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 use an electric razor to shave." "I'll watch my gums for bleeding when I brush my teeth." "I'll eat four servings of fresh, dark green vegetables every day." SUBMIT ANSWER Exit quiz

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

Question 1 of 5 A female client with the beta-thalassemia trait plans to marry a man of Italian ancestry who also has the trait. Which client statement indicates that she understands the teaching provided by the nurse? "I need to learn how to give myself vitamin B12 injections." "I'll see a genetic counselor before starting a family." "Thalassemia is treated with iron supplements." "If my fiancé was of Middle Eastern descent, I wouldn't be worried about having children." SUBMIT ANSWER Exit quiz

I'll see a genetic counselor before starting a family."

Question 4 of 5 A nursing instructor is evaluating a student caring for a neutropenic patient. The instructor concludes that the nursing student demonstrates accurate knowledge of neutropenia based on which of the following interventions? Monitoring the patient's breathing and reviewing the patient's arterial blood gases (ABGs) Monitoring the patient's blood pressure and reviewing the patient's hematocrit Monitoring the patient's temperature and reviewing the patient's complete blood count (FBC) with differential Monitoring the patient's heart rate and reviewing the patient's hemoglobin SUBMIT ANSWER Exit quiz

Monitoring the patient's temperature and reviewing the patient's complete blood count (FBC) with differential

Question 3 of 5 A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in their arms and legs. What do these symptoms indicate? Insufficient intake of dietary nutrients Neurologic involvement Severity of the disease Loss of vibratory and position senses SUBMIT ANSWER Exit quiz

Neurologic involvement In clients with pernicious anemia, numbness and tingling in the arms and legs, and ataxia are the most common signs of neurologic involvement. Some affected clients lose vibratory and position senses. Jaundice, irritability, confusion, and depression are present when the disease is severe. Insufficient intake of dietary nutrients is not indicated by these symptoms.

x Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? Non-rebreather mask Venturi mask Catheter Face tent

Non-rebreather mask

The nurse is caring for an older adult client who has a hemoglobin of 9.6 g/dL and a hematocrit of 34%. To determine where the blood loss is coming from, what intervention can the nurse provide? Observe the sputum for signs of blood. Observe stools for blood. Observe the gums for bleeding after the client brushes teeth. Observe client for facial droop. SUBMIT ANSWER

Observe stools for blood

Question 2 of 5 A client diagnosed with systemic lupus erythematosus comes to the emergency department with severe back pain. She reports that she first felt pain after manually opening her garage door and that she is taking prednisone daily. What adverse effect of long-term corticosteroid therapy is most likely responsible for the pain? Truncal obesity Muscle wasting Osteoporosis Hypertension SUBMIT ANSWER Exit quiz

Osteoporosis

Question 3 of 5 Which is the following is the most obvious sign of anemia? Tachycardia Flow murmurs Pallor Jaundice SUBMIT ANSWER Exit quiz

Pallor

A patient had gastric bypass surgery 3 years ago and now, experiencing fatigue, visits the clinic to determine the cause. The patient takes pantoprazole (Protonix) for the treatment of frequent heartburn. What type of anemia is this patient at risk for? Aplastic anemia Iron deficiency anemia Sickle cell anemia Pernicious anemia

Pernicious anemia

Question 2 of 5 In adults, bone marrow is usually aspirated from which area? Posterior iliac crest Ankle Sternum Femur SUBMIT ANSWER Exit quiz

Posterior iliac crest

Question 2 of 5 Hemophilia A is the most common of the three types of hemophilia. What is diminished in the less serious form of hemophilia A, known as von Willebrand's disease? Amount and quality of factor IX Amount and quality of factor VIII Quality of factor XI Quality of factor VIII SUBMIT ANSWER Exit quiz

Quality of factor VIII

Question 2 of 5 The Pediatric Nurse Practitioner is doing a physical examination of a client with sickle cell anemia. Why would the nurse practitioner auscultate the lungs and heart? To detect the evidence of dehydration that might have triggered a sickle cell crisis To detect the motor strength and stroke-related signs and symptoms To detect the abnormal sounds suggestive of acute chest syndrome and heart failure To detect the evidence of infection such as fever and tachycardia SUBMIT ANSWER Exit quiz

The nurse auscultates the lungs and heart to detect abnormal sounds that indicate pneumonia, acute chest syndrome, and heart failure. The nurse assesses vital signs to detect evidence of infection, such as fever and tachycardia. During the physical examination, the nurse observes the client's appearance, looking for evidence of dehydration, which may have triggered a sickle cell crisis. The nurse assesses mental status, verbal ability, and motor strength to detect stroke-related signs and symptoms.

Question 1 of 5 A nurse is caring for a client with thrombocytopenia. What is the best way to protect this client? Limit visits by family members. Encourage the client to use a wheelchair. Maintain accurate fluid intake and output records. Use the smallest needle possible for injections. SUBMIT ANSWER Exit quiz

Use the smallest needle possible for injections.

Loading... Question 4 of 5 A client is seen in the emergency department with severe pain related to a sickle cell crisis. What does the nurse understand is occurring with this client? The client has a decreased tolerance of pain related to the chronic nature of the illness. Vascular occlusion in small vessels decreasing blood and oxygen to the tissues. Overhydration enlarges the red blood cells. Bone marrow decreases the erythrocyte production causing decrease in hypoxia. SUBMIT ANSWER Exit quiz

Vascular occlusion in small vessels decreasing blood and oxygen to the tissues.

Question 2 of 5 A patient with sickle cell anemia has a high hematocrit. low hematocrit. normal blood smear. normal hematocrit. SUBMIT ANSWER Exit quiz

low hematocrit. The patient with sickle cell anemia has a low hematocrit and sickled cells on the smear. The patient with sickle cell trait usually has a normal hemoglobin level, a normal hematocrit, and a normal blood smear.

Question 1 of 5 A client is being admitted to the hospital with abdominal pain, anemia, and bloody stools. He complains of feeling weak and dizzy. He has rectal pressure and needs to urinate and move his bowels. The nurse should help him: to the bedside commode. to the bathroom. to a standing position so he can urinate. onto the bedpan. SUBMIT ANSWER Exit quiz

onto the bedpan.

Question 1 of 5 A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy? "I will receive parenteral vitamin B12 therapy for the rest of my life." "I will receive parenteral vitamin B12 therapy monthly for 6 months to a year." "I will receive parenteral vitamin B12 therapy until my vitamin B12 level returns to normal." "I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear." SUBMIT ANSWER Exit quiz

will receive parenteral vitamin B12 therapy for the rest of my life

patient with sickle cell crisis is admitted to the hospital in severe pain. While caring for the patient during the crisis, which of the following is the priority nursing intervention? Administering and evaluating the effectiveness of opioid analgesics Limiting the patient's intake of oral and IV fluids Encouraging the patient to ambulate as much as tolerated Teaching the patient about increasing dietary intake of high-protein, high-calorie foods SUBMIT ANSWER

Administering and evaluating the effectiveness of opioid analgesics

Question 1 of 5 A young female client has pale nailbeds. Her hemoglobin count is 10.2 gm/dL and her hematocrit count is 30%. She reports fatigue and states, "I'm tired all the time." The client also reports excessive menstrual flow. The nurse assesses further and determines the client's diet is balanced and provides adequate calories. The client is prescribed supplemental iron therapy. The highest nursing diagnosis is Altered nutrition: less than body requirements, related to inadequate intake of nutrients Altered tissue perfusion related to diminished oxygen-carrying capacity of the blood Deficient knowledge related to new information with no previous experience Fatigue related to diminished oxygen-carrying capacity of the blood SUBMIT ANSWER Exit quiz

Altered tissue perfusion related to diminished oxygen-carrying capacity of the blood

Loading... Question 4 of 5 A patient's family member asks the nurse why disseminated intravascular coagulation (DIC) occurs. Which of the following statements made by the nurse correctly explains the cause of DIC? DIC is caused when hemolytic processes destroy erythrocytes. DIC is caused by an abnormal activation of clotting pathway causing excessive amounts of tiny clots to form inside organs. DIC occurs when the immune system attacks platelets and causes massive bleeding. DIC is a complication of an autoimmune disease that attacks the body's own cells. SUBMIT ANSWER Exit quiz

DIC is caused by an abnormal activation of clotting pathway causing excessive amounts of tiny clots to form inside organs

A patient with chronic renal failure is examined by the nurse practitioner for anemia. The nurse knows to review the laboratory data for a decreased hemoglobin level, red blood cell count, and which of the following? Increased mean corpuscular volume Increased reticulocyte count Decreased total iron-binding capacity Decreased level of erythropoietin SUBMIT ANSWER Exit quiz

Decreased level of erythropoietin

Question 2 of 5 Which cell of haematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? Lymphoid stem cell Neutrophil Myeloid stem cell Monocyte SUBMIT ANSWER Exit quiz

Myeloid stem cell

Which client is most at risk for developing disseminated intravascular coagulation (DIC)? A client with an amniotic fluid embolism A client with heart failure and renal failure A client admitted with suspected cocaine overdose A client with a stage IV pressure ulcer SUBMIT ANSWER

The client with the amniotic fluid embolism is at greatest risk for developing DIC. Other risk factors for developing DIC include trauma, cancer, shock, and sepsis. Possible cocaine overdose, a stage IV pressure ulcer, and heart failure and renal failure aren't risk factors for DIC.

Question 4 of 5 A male client has a hemoglobin count of 10.2 gm/dl, a hematocrit value of 36%, and a low ferritin level. What question should the nurse ask first? Can you explain your typical diet? Are you taking iron supplements? Have you experienced abdominal pain? How much alcohol do you drink? SUBMIT ANSWER Exit quiz

The laboratory data support that the client has iron-deficiency anemia. The most common cause of iron-deficiency anemia in men is bleeding from ulcers, gastritis, inflammatory bowel disease, or gastrointestinal tumors. People who experience these problems may report abdominal pain. The nurse will make further assessments and may ask the other questions. Have you experienced abdominal pain?

Question 4 of 5 During the review of morning lab values on a patient complaining of severe fatigue and a red, swollen tongue, the nurse suspects chronic, severe iron deficiency anemia based on which of the following findings? Elevated hematocrit level Elevated red blood cells (RBCs) Low ferritin level Enlarged mean corpuscular volume (MCV) SUBMIT ANSWER Exit quiz

The most consistent indicator of iron deficiency anemia is a low ferritin level, which reflects low iron stores. As the anemia progresses, the MCV, which measures the size of the erythrocytes, also decreases. Hematocrit and RBC levels are also low in relation to the hemoglobin level. Low ferritin level

Question 1 of 5 A nurse is preparing to discharge an adolescent with sickle cell anemia. What client need should the nurse emphasize in her discharge assessment? The need to follow up with physician visits The need to have pain medication available The need to maintain good hydration The need for an adequate support structure SUBMIT ANSWER Exit quiz

The need for an adequate support structure