hematologic test

in anemia, which of the following blood components is decreased?

. erythrocytes

when the pt w/platelet count of 20000 received 1 unit od platelets could should rise to

25000-30000

a client with a history of acquired thrombocytopenia has been instructed on how to prevent and control hemorrhage. Which statement indicates that the client needs further intervention?

I can count the number of tissues saturated to detect blood loss during a nosebleed

which of the following is essential for the hemoglobin synthesis during RBC production?

Iron

the nurse should instruct the client with a platelet count of less than 150,000/uL to avoid which of the following activities?

Valsalva's maneuver

which nursing intervention will be included in the care plan for E.A. with noticeable thrombocytopenia?

avoid IM or SQ injections

the doctor orders transfusion with packed RBCs for E.A. who is hospitalized with severe anemia. The most important action by the nurse to prevent a transfusion reaction when administering the blood will be

verify the patient's identification according to hospital policy

an elderly client states that she is afraid of receiving vitamin B12 injection every month because of potential toxic reactions. what is the nurse's best response to relieve this fear

vitamin B12 is generally free of toxicity because it is water soluble

in heaping prepare a nursing plan for a 90lb 82 yr old woman with iron deficiency anemia with a hemoglobin of 5.2 the nurse agrees that the most appropriate nursing diagnosis would be

activity intolerance related to fatigue

based on nursing assessment an appropriate nursing diagnosis for apt w/hemophelia would be

acute pain related to bleeding in closed spaces

the nurse devises a teaching plan for the pt with aplastic anemia. whig of the following is the most important concept to teach for health maintenance

avoid exposure to others with acute infections

when a client is diagnosed with aplastic anemia, the nurse monitors for changed in which of the following physiologic functions?

bleeding tendencies

What is the earliest and most obvious clinical manifestation that the nurse finds on assessment of a client with acute disseminated intravascular coagulation (DIC)

bleeding without previous history or cause

a client has received 25 ml of PRBC when she began to experience low back pain and mild itching. after stopping the infusion the nurse should?

blood and urine samples to be sent to lab

a 3yr old african american child is diagnosed w/sickle cell anemia. the parents know that sickle cell anemia is hereditary but do not understand why their child has the disease because neither of them has it. the nurse explains that

both parents were carried of the sickle cell trait

when a client w/thrombocytopenia complains of a severe headache, the nurse interprets that this may indicate which of the following explanations

cerebral bleeding

a client w/macrocytic anemia has a burn on her foot and stated that she had been watching television while lying on a heating pad. what is the nurse's first response?

check for dimished sensations

to improve the platelet count of a patient with an idiopathic thrombocytopenic purpura, this medication should be given:

corticosteroid

. on examination, the laboratory reports show thrombocytopenia. Which of these assessment data obtained by the nurse when caring for E.A. with thrombocytopenia should be immediately communicated to the doctor?

decreasing level of consciousness

when the nurse prepared ti give ferrous sulfate to a home health care pt the nurse will

dilute and offer through a straw and a few crackers

a nurse is completing at initial assessment on a new pt being seen in the hospital clinic. the presentation of this female pt includes vague symptoms of tiredness and large areas of ecchymosis. the question that would be most important to ask is

do your gums easily bleed

a client is to receive epoetin (epogen) injections. what lab value should the nurse assess before giving the injections

hematocrit

a newborn infant has developed significant jaundice and has positive coombs test result from levels of bilirubin. the nurse has assessed the symptoms as being indicative of

hemolytic anemia

at the end of the shit a nurse documents the effectiveness of a parent teaching concerning the transmission of hemophilia. which of the following statements by the mother would best indicate an accurate parental perception?

hemophilia is a generic disorder and i am a carrier although i do not have the disease

a 35 yr old man is examined in an urgent care clinic his presenting symptoms suggest polycythermia vera. the la value that would confirm this possible diagnosis is an extremely

high hemoglobin level

Which of the following indicates that client has achieved the goal of correctly demonstrating deep breathing for an upcoming splenectomy? The client

holds a pillow to the stomach takes a deep breath in through the nose and blows out through pursed lips

the nurse is teaching a client with pernicious anemia who requires vitamin b12 replacement therapy. Which statement indicates that the client understands the treatment program?

ill need an injection of vitamin b12 every month for life

Recognizing early clinical manifestations of internal bleeding is an important nursing goal for a client with DIC. Which of the following is a finding associated with internal bleeding?

increasing abdominal girth

the nurse understands that the client w/pernicious anemia will have which distinguishing lab finding?

intrinsic factor absent

a 52 yr old man has a diagnosis of aplastic anemia. this infer that the nurse recognizes as being pertinent to this diagnosis is that he man

is a 25r employee in a chemical plant

the client states she does not understand what causes idiopathic thrombocytopenia purport. the nurse provides which of the following

it is believed that the platelets are coated w/antibodies and the spleen sees them as foreign bodies

which of the following is true of RBC?

its production and formation depends on the action of the kidney

which organ is responsible for stimulating the production of red blood cells?

kidney

the foods that the nurse would include in a nutrition teaching plan for a pt w/iron deficiency anemia are

liver red meat

a major focus in a teaching plan for a teenager w/sickle cell anemia would be

maintain adequate hydration

the nurse should instruct the client to eat which of the following foods to obtain the best supply of vitamin B12?

meats and leafy vegetables

the nurse caring for a pt receiving a transfusion assesses that the pt is wheezing and is complaining of back pain. after the nurse stops the transfusion the nurse should

notify the charge nurse

the nurse explains that sickle cell crisis occurs when the sickle shaped red blood cells

obstruct major arteries

which nursing diagnosis should the nurse expect to see in a plan of care for a client in sickle cell crisis?

pain related to sickle cell crisis

The nurse is caring for a 32-year-old client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client?

pallor, tachycardia, and a sore tongue

a client with DIC develops clinical manifestations of microvascular thrombosis. The nurse should assess the client for

petechiae

when assessing the pt w/thrombocytopenia the nurse observes for

petechiae on the skin and bleeding gums

in preparing discharge plans for a pt recently diagnosed w/pernicious anemia the nurse must include information regarding

providing sufficient rest period throughout the day

at 10am the nurse receives 2 unties of blood fora pt ti be transfused the nurse should

set up 1 unit for the infusion to start at 1030 and send the other unit back until the first one has run

the nurse administers packed RBC to a client with pernicious anemia. which of the following nursing interventions is appropriate?

stay w/the client during the 1st 15 min

the client with immune thrombocytopenia purpura asks the nurse why she has to take steroids.

steroids alter the spleen's recognition of platelets as foreign bodies and increase the life of the platelets.

which early symptom does the nurse observe in a client with thrombocytopenia is

tachycardia

the rationale for administrating injections of bit B12 to pts w/pernicious anemia is that

the pt may lack the intrinsic factor necessary for vitamin B12 absorption

a client with pernicious anemia asks why she must take vitamin B12 injections for the rest of her life. what is the nurses best response

the reason for your bit deficiency is an inability to absorb vitamin bc the stomach is not producing enough intrinsic factor