CH 32

A client w/ severe anemia is admitted to the hospital. Because of religious beliefs, the client is refusing blood transfusions. The nurse anticipates pharmacologic therapy with which srg to stimulate the production of red blood cells? a) Epoetin alfa b) Filgrastim c) Eltrombopag d) Sagramostim

a) Epoetin alfa

Which is a symptom of severe thrombocytopenia? a) Petechiae b) Dyspnea c) Inflammation of the tongue d) Inflammation of the mouth

a) Petechiae

A client with Hodgkin disease had a bone biopsy yesterday and reports aching at the biopsy site, rated a 5 (on a 1-10 scale). After assessing the biopsy site, which nursing intervention is most appropriate? a) Reposition the client to a high fowlers position and continue to monitor pain b) Administer acetaminophen 500mg po, as ordered c) Administer ASA 325mg po, as ordered d) Notify the physician

b) Administer acetaminophen 500mg po, as directed

A nurse is completing a detailed health history and assessment in the electronic medical record (EMR) for a client w/ a disorder of hematopoietic system. Which symptom is the most commonly reported in association with hematologic diseases? a) severe headaches b) Extreme fatigue c) Dyspnea d) Blurred vision

b) Extreme fatigue

Which term describes the % of blood volume that consists of erythrocytes? a) Hemoglobin b) Erythrocyte sedimentation rate (ESR) c) Hematocrit d) Differentiation

c) Hematocrit

Which statement best describes the fnx of fibrinogen? a) Helps maintain osmotic pressure b) Helps prevent or modify some types of infectious diseases c) Plays a key role in forming blood clots d) Fnxs primarily as an immunological agent

c) Plays a key role in forming blood clots

Which nursing intervention should be incorporated into the plan of care for client with impaired liver function and a low albumin concentration? a) Apply prolonged pressure to needle sites or other sources of external bleeding b) Monitor for edema at least once per shift c) Implement neutropenic precautions d) Monitor temperature at least once per shift

d) Monitor temperature at least once per shift

A client comes into the emergency department reporting an enlarged tongue. The tongue appears smooth and beefy red in color. The nurse also observes a 5-cm incision on the upper left quadrant of the abdomen. When questioned, the client states, "I had a partial gastrostomy yrs ago." Based on this information, the nurse attributes these symptoms to which problem? a) Vit C deficiency b) Folic acid deficiency c) Vit A deficiency d) Vit B12 deficiency

d) Vit B12 dificiency