Chapter 33: Management of Patients With Nonmalignant Hematologic Disorders 1
Neurologic involvement
A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in his arms and legs. What do these symptoms indicate?
Administering and evaluating the effectiveness of opioid analgesics
A client with sickle cell crisis is admitted to the hospital in severe pain. While caring for the client during the crisis, which is the priority nursing intervention?
Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels
A complete blood count is commonly performed before a client goes into surgery. What does this test seek to identify?
To detect the abnormal sounds suggestive of acute chest syndrome and heart failure
A nurse is doing a physical examination of a child with sickle cell anemia. When the child asks why the nurse auscultates the lungs and heart, what would be best the response by the nurse?
Thrombocytopenia
After receiving chemotherapy for lung cancer, a client's platelet count falls to 98,000/mm3. What term should the nurse use to describe this low platelet count?
intrinsic factor
An client has pernicious anemia and has been receiving treatment for several years. What is the client lacking that results in pernicious anemia?
Receive pneumococcal and annual influenza vaccinations
When a nurse is planning discharge teaching for a client admitted with sickle cell crisis, which information should the nurse include in the teaching?
Anemia
Which of the following is the most common hematologic condition affecting elderly patients
Sickle cell anemia
Which type of hemolytic anemia is categorized as inherited disorder?
Platelet count, prothrombin time, and partial thromboplastin time
While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of which assessment parameters?
