Heme/HIV/AIDS active learning questions

Pediatric nurse is giving instructions to the 12 year old client with sickle cell disease and his parents. To prevent a crisis, the nurse explains that the child should so which of the following? SATA A. stay away from sick children B. increased fluids C. restrict fluids D. avoid exercise E. be aware that high altitudes may lead to a crisis

A, B, E

Nurse is completing the admission history for a client who has HIV. which risk factors does the nurse identidy as being associated with this virus? SATA A. Perinatal exposure B. Pregancy C. Monogamous sex partner D. Menopause E. Occupational expsoure

A, D, E

Nurse is reviewing lab results of a client who has thrombocytopenia. Which of the following actions should the nurse expect to take? A. Apply prolonged pressure to puncture sires when obtaining blood B. Administer epoetin alfa subcutaneously C. Place the client in a private room D. Provide the client with an oral topical anesthetic before meals

A. Apply prolonged pressure to puncture sires when obtaining blood

The nurse is caring for a patient who is receiving antiretroviral therapy fo treatment of HIV infection. Which assessment best indicates that the patient's condition is improving? A. Decreasing viral load B. increasing drug resistance C. decreased CD4+ T-cell count D. Increased aminotransferase levels

A. Decreasing viral load

Which best describes the purpose of a bone marrow biopsy? A. To determine the cause of severe anemia B. To detect the risk of blood clots C. To test for the presence of allergens in the blood D. To determine the density of bone

A. To determine the cause of severe anemia

A client with iron deficiency anemia asked the nurse about possible food sources of iron. Which of the following foods contain iron? SATA A. iceberg lettuce B. Dried beans C. Tea D. Brown rice E. Egg yolks

B, D, E

Which of the following would be an indication for a blood product transfusion in an adult client? SATA A. Hemoglobin 12 grams per deciliter B. Hemorrhage that causes 30% total volume blood loss C. Platelet count of 100,000 micrograms per liter D. International normalized ratio (INR) level greater than 2.0 E. Sickle cell disease that causes severe anemia

B, E

The nurse informs the patient with a bacterial pneumonia that the most important factor in antibiotic treatment is: A. Antibiotics should have been used to prevent pnemonia B. All of the supplied antibiotics should be taken even when symptoms have resolved C. Enough antibiotics for 2 days' treatment should be reserved in case symptoms recur D. Patients should get antibiotics for any infection to prevent development of streptococcal-related diseases

B. All of the supplied antibiotics should be taken even when symptoms have resolved

Nurse is reviewing lab results of a client who has a WBC count of 20,000, The nurse should identify that the client has which of the following conditions? A. Neutropenia B. Leukocytosis C. Thrombocytosis D. Leukopenia

B. Leukocytosis

A nurse is preparing to transfuse a unit of packed RBC's for a client who has severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction? A. Ensures that the client has a patent IV line before obtaining blood product from the refrigerator B. Verifies with another nurse that the client and blood product match the client's ID band for blood components as well as the blood ID information in their chart C. Takes a complete set of vitals before beginning transfusion and periodically throughout the transfusion D. Stays with the client for the first 15-30 min of the transfusion

B. Verifies with another nurse that the client and blood product match the client's ID band for blood components as well as the blood ID information in their chart

A nurse is preparing to administer one unit of packed red cells to a client in need of a transfusion. The client currently has a bag of lactated ringer's infusing into his IV. Which is the most appropriate action for the nurse to take? A. Discontinue the lactated ringers solutionand start an infusion of D5W to run with the packed cells B. discontinue the LR solution and start infusion of 0.9% NaCl to run with the packed cells C. Start the unit of packed RBCs and use with the lactated ringers solution D. Wait to administer the packed red blood cells until the current IV bag of lactated ringers's is completed

B. discontinue the LR solution and start infusion of 0.9% NaCl to run with the packed cells

A nurse is assessing a client with anemia due to folic acid deficiciency. Which of the following may have caused the client's condition. SATA A. Dementia B. Gastric ulcer C. Chrohn's disease D. Methyltrexate E. Apsirin

C, D

A nurse is planning an education session about HIV for newly licensed nurses. Which of the following information should the nurse include about HIV transmission? A. primarily transmitted through casual contact B. Primarily transmitted through a wound caused by an accident C. primarily transmitted through direct contact with bodily fluids D. Primarily transmitted through eating raw meat

C. primarily transmitted through direct contact with bodily fluids

Nurse is caring for a client who takes large doses of ibuprofen daily for joint pain. The nurse knows that it is important to monitor for which of the following adverse effects? SATA A. Brady B. hypertension C. tarry black stools D. bruising E. constipation

C. tarry black stools D. bruising

A nurse is teaching an adolescent about HIV. Which of the following statements by the adolescent indicates an understanding of the teaching? A. "You can get HIV by kissing your partner" B. "HIV can be caught by inhaling illegal drugs" C. "There is a cure for HIV now" D. "A pregnant woman can pass HIV to her unborn baby"

D. "A pregnant woman can pass HIV to her unborn baby"

Nurse is providing a teaching for a client who has HIV and is having difficulty gaining weight. Which of the following statements by the client indicates an understanding fo the teaching? A. "I will choose a diet high in fat" B. "I will be sure to eat 3 large meals daily" C. "I will drink up to 1 liter of liquid each day" D. "I will add foods that are high in protein to my diet"

D. "I will add foods that are high in protein to my diet"

A nurse is providing traching to a school-age child who has iron-deficiency anemia and a new prescription for a liquid iron supplement. Which of the following parent statements indicates an understanding of the teaching? A. "i will provide a double dose of the medication if my child misses a dose" B. "I will give this medication to my child with a cup of milk" C. "This medication will cause my child's stool to be a light beige color" D. "I will administer this medication to my child using a straw"

D. "I will administer this medication to my child using a straw"

The nurses is teaching a newly diagnosed 34 year old male about his HIV infection. Which statement by the patient would indicate the patient needs additional education? A. "I will need ot take my HIV medication daily for the rest of my life" B. "Although I only take one pill, it has multiple medications combined into a single tablet" C. "I should notify my HIV provider if i get fevers that do not go away with tylenol or aspirin" D. "Once my viral load is undetectable I don't have to worry about taking my medication everyday"

D. "Once my viral load is undetectable I don't have to worry about taking my medication everyday"

The nurse is caring for a client with increased WBC. Which of the following meds can result in an increased WBC count? A. Diuretics B. Antibiotics C. H2 blockers D. Corticosteroids

D. Corticosteroids

A nurse is caring for a client who has leukemia and thrombocytopenia. WHich of the following actions is the nurse's priority? A. Allow the client to take frequent rest periods throughout the day B. Encourage the client to cough, turn and deep breath every 2 hours C. Obtain the client's temperature every 4 hours D. Monitor the client's platelet count

D. Monitor the client's platelet count

A diagnosis of AIDS can be made for a patient with HIV with A. A WBC count less than 3000/mL B. A CD4+ T-cell count less than 500/mL C. Development of oral candidiasis (thrush) D. Onset of Pneumocystis Jirovec/Pnemonia

D. Onset of Pneumocystis Jirovec/Pnemonia

Nurse is caring for a 15 y/o client with sickly cell anemia who was admitted for the treatment of vaso-occlusive crisis and is complaining of severe pain "all over." What is the priority nursing intervention for this client? A. Maintain bed rest B. Alert the blood bank to obtain blood for transfusion C. Apply supplemental oxygen through nasal cannula D. Start an IV bolus of normal saline

D. Start an IV bolus of normal saline