hemo questions

A 78-year-old client comes to the health clinic presenting with fatigue. The client's laboratory results indicate a hematocrit of 32.1% and a hemoglobin of 10.5 g/dL (105 mmol/L). Which is the most appropriate nursing intervention in response to these laboratory results? Conduct a complete nutritional assessment of the client Nothing, because these are expected values for this client's age Advise the client to come back to the clinic to have the test repeated in three months Investigate the cause of the anemia while understanding that mild anemia is an expected response to the aging process

a

A client develops iron-deficiency anemia. Which of the client's laboratory test results should the nurse expect to be decreased? Ferritin level Platelet count White blood cell count Total iron-binding capacity

a

A client is seen in the clinic with sickle cell crisis. Which hemoglobin range will the nurse expect to find? 6-8 g/100 mL (60-80 mmol/L) 10-12 g/100 mL (100-120 mmol/L) 12-14 g/100 mL (120-140 mmol/L) 16-18 g/100 mL (160-180 mmol/L)

a

The pain experienced by the vaso-occlusive crisis is caused by sickle-shaped red blood cells that block blood flow through tiny blood vessels to the chest, abdomen, joints, and bones. Pain management is priority. If the client has evidence of hypoxia, then oxygen should be administered. Although a blood transfusion may be needed to treat the anemia and intravenous fluid reduce the viscosity of the sickled blood, it will not immediately relieve the pain. A nurse concludes that the teaching about sickle cell anemia has been understood when an adolescent with the disorder makes which statement? "I'll start to have symptoms when I drink less fluid." "I'll start to have symptoms when I have fewer platelets." "I'll start to have symptoms when I decrease the iron in my diet." "I'll start to have symptoms when I have fewer white blood cells."

a

The student nurse demonstrates correct understanding of anemia related to chronic disease with which statement? "Red blood cells appear normal in size and color; however, there is a decreased amount produced." "The red blood cells have an increased life span with a decrease in normal functioning." "Administration of vitamins B 12 and folate will help to treat this type of long-term anemia." "This is the mildest form of anemia and is easily corrected through administration of blood products."

a

A client is admitted with thrombocytopenia. Which specific nursing actions are appropriate to include in the plan of care for this client? Select all that apply. Select all that apply Some correct answers were not selected Avoid intramuscular injections Institute neutropenic precautions Monitor the white blood cell count Administer prescribed anticoagulants Examine the skin for ecchymotic areas

a, e

A client is diagnosed with pancytopenia caused by chemotherapy. What should a nurse teach the client about this complication? Begin a program of meticulous mouth care. Avoid traumatic injury and exposure to infection. Increase oral fluid intake to at least 3 L/day. Report unusual muscle cramps or tingling sensations in the extremities.

b

A client has been experiencing extreme fatigue lately. The nurse suspects anemia and examines the client to identify additional clinical manifestations to support this inference. Which locations on the client's body should the nurse assess? Select all that apply. Select all that apply Some correct answers were not selected Sclera Nail beds Conjunctivae Palms of hands Bony prominences

b,c,d

A client is started on a continuous infusion of heparin. Which finding does the nurse use to conclude that the intervention is therapeutic? International normalized ratio (INR) is between 2 and 3 Prothrombin time (PT) is 2.5 times the control value Activated partial thromboplastin time (APTT) is double the control value Activated clotting time (ACT) is in the range of 70 to 120

c

An adolescent who has sickle cell anemia is recovering from a painful episode. What does the nurse see as the priority issue for this adolescent? Restriction of movement during periods of arthralgia Separation from family during periods of hospitalization Alteration in body image resulting from skeletal deformities Interruption of education as a result of multiple hospitalizations

c

The nurse is making rounds on a client who has developed severe bone marrow depression after receiving chemotherapy for cancer. Which of these actions by the nurse is appropriate? Select all that apply. Select all that apply Some correct answers were not selected Monitor for signs of alopecia. Encourage an increase in fluids. Wash hands before entering the client's room. Advise use of a soft toothbrush for oral hygiene. Report an elevation in temperature immediately. Encourage the client to eat raw, fresh fruits and vegetables.

c,d,e

The mother of a 13-year-old child with sickle cell anemia tells the nurse that the family is going camping by a lake this summer. She asks what activities are appropriate for her child. Which activity should the nurse suggest? Swimming in the lake Soccer with the family Climbing the mountain trails Motorboat rides around the lake

d