hematology/oncology

A transfusion of packed red blood cells is prescribed for a client with anemia. List the following actions in the order in which they should be performed by the nurse.

1. Ensure that the client signed a consent for the transfusion. 2. Determine the client's vital signs. 3. Compare the number on the blood product and laboratory record 4. Don a pair of clean gloves. 5. Run the transfusion slowly.

A nurse is caring for two clients; one has polycythemia and the other has prolonged anemia. What do these clients have in common? 1. Increased urinary output 2. Increased cardiac workload 3. Decreased oxygen saturation 4. Decreased arterial blood pressure

2. Increased cardiac workload

Which group of clients should the nurse anticipate to have the highest incidence of non-Hodgkin lymphomas? 1. Children 2. Older adults 3. Young adults 4. Middle-aged persons

2. Older adults

A client with a history of chronic myelogenous leukemia and splenomegaly is admitted to the hospital. What should the nurse expect to identify when completing the admission assessment? 1. Increased urinary output 2. Tender mass in the left upper abdomen 3. Elevated erythrocytes, platelets, and granulocytes 4. Polydipsia, increased appetite, and urinary frequency

2. Tender mass in the left upper abdomen

A nurse is performing an assessment on a client with probable acute lymphocytic leukemia (ALL). Which clinical manifestation will the nurse expect to be present? 1. Alopecia 2. Insomnia 3. Ecchymosis 4. Hypertension

3. Ecchymosis

What is the nurse primarily attempting to prevent when caring for a client in the initial stages of chronic lymphocytic leukemia (CLL)? 1. Injury 2. Fatigue 3. Infection 4. Cachexia

3. Infection

When discussing the therapeutic regimen of vitamin B12 for pernicious anemia with a client, what teaching does the nurse provide? 1. Weekly Z-track injections provide needed control. 2. Daily intramuscular injections are required for control. 3. Intramuscular injections once a month will maintain control. 4. Oral vitamin B12 tablets taken daily will provide symptom control.

3. Intramuscular injections once a month will maintain control.

The nurse assesses a client for the development of pernicious anemia after reviewing the client's history. Which condition did the nurse most likely find in the history? 1. Acute gastritis 2. Diabetes mellitus 3. Partial gastrectomy 4. Unhealthy dietary habits

3. Partial gastrectomy

When a Schilling test is prescribed for a client suspected of having cobalamin deficiency because of pernicious anemia, what should the nurse plan to do? 1. Give medications on time 2. Prescribe foods low in vitamin B12 3. Keep an accurate intake and output 4. Collect a 24-hour to 48-hour urine specimen

4. Collect a 24-hour to 48-hour urine specimen

A client is receiving epoetin for the treatment of anemia associated with chronic renal failure. Which client statement indicates to the nurse that further teaching about this medication is necessary? 1. "I realize it is important to take this medication because it will cure my anemia." 2. "I know many ways to protect myself from injury because I am at risk for seizures." 3. "I recognize that I may still need blood transfusions if my blood values are very low." 4. "I understand that I will still have to take supplemental iron therapy with this medication."

1. "I realize it is important to take this medication because it will cure my anemia."

A client who is suspected of having leukemia has a bone marrow aspiration. What should the nurse do Immediately after the procedure? 1. Apply brief pressure to the site. 2. Have the client lie on the affected side. 3. Swab the site with an antiseptic solution. 4. Monitor vital signs every hour for 4 hours.

1. Apply brief pressure to the site.

A blood transfusion of packed cells has been prescribed for a client with leukemia. The nurse will complete the following steps in what order?

1. Check primary healthcare provider's prescription 2. Obtain vital signs and history of transfusions. 3. Ascertain that intravenous catheter size is 18 or 20 gauge 4. Change main line solution to normal saline. 5. Check client identification before hanging unit of blood.

A nurse provides dietary instruction to a client who has iron deficiency anemia. Which food choices by the client does the nurse consider most desirable? Select all that apply. 1. Raw carrots 2. Boiled spinach 3. Dried apricots 4. Brussels sprouts 5. Asparagus spears

2. Boiled spinach 3. Dried apricots

A nurse is caring for a client with a diagnosis of polycythemia vera. The client asks, "Why do I have an increased tendency to develop blood clots?" Which effect of the polycythemia vera should the nurse include in the teaching session? 1. Elevated blood pressure 2. Increased blood viscosity 3. Fragility of the blood cells 4. Immaturity of red blood cells

2. Increased blood viscosity

A client with upper gastrointestinal (GI) bleeding develops mild anemia. What should the nurse expect to be prescribed for this client? 1. Dextran 2. Iron salts 3. Vitamin B12 4. Erythropoietin

2. Iron salts