Nurs 240 E2
A patient with a history of congestive heart failure has an order to receive one unit of packed red blood cells (RBCs). If the nurse hangs the blood at 12:00 pm, by what time must the infusion be completed? a) 6:00 pm b) 4:00 pm c) 2:00 pm d) 3:00 pm
4:00 pm
A female patient has a hemoglobin of 6.4 g/dL and is preparing to have a blood transfusion. Why would it be important for the nurse to obtain information about the patient's history of pregnancy prior to the transfusion? a) If the patient has never been pregnant, it increases the risk of reaction. b) A high number of pregnancies can increase the risk of reaction. c) If the patient has been pregnant, she may have developed allergies. d) Obtaining information about gravidity and parity is routine information for all female patients.
A high number of pregnancies can increase the risk of reaction.
A client being treated for iron deficiency anemia with ferrous sulfate (Ferasol) continues to be anemic despite treatment. The nurse should assess the client for use of which medication? a) Amoxicillin (Amoxil) b) Prednisone (Deltasone) c) Aluminum hydroxide (Maalox) d) Tegretol (Carbamazepine)
Aluminum hydroxide (Maalox)
A patient is brought to the ER complaining of fatigue, large amounts of bruising on the extremities, and abdominal pain localised in the left upper quadrant. A health history reveals the patient has been treated three times in the past 2 months for a sore throat. Lab tests indicate severe anaemia, significant neutropenia, and thrombocytopenia. Based on the symptoms, with what could the patient be diagnosed? a) Sickle cell anaemia b) Haemolytic anaemia c) Iron deficiency anaemia d) Aplastic anaemia
Aplastic anaemia
The client has been diagnosed with myelodysplastic syndrome with an absolute neutrophil count less than 1000/mm³ and is being admitted to the hospital. The nurse a) Places the client in isolation and allows no visitors b) Assigns the client to a private room c) Changes the water in the humidifier for oxygen therapy every 48 hours d) Allows unlicensed assistive personnel who reports having a sore throat to provide care
Assigns the client to a private room
G-CSF (filgrastim [Neupogen]) is prescribed for a client with bone marrow suppression. What medication administration teaching should the nurse provide to the client? a) Assist the client in identifying appropriate subcutaneous injection sites. b) Take this medication by mouth at bedtime each night. c) Do not eat before arriving to receive the intravenous administration of Neupogen. d) Neupogen is taken intramuscularly on a weekly basis.
Assist the client in identifying appropriate subcutaneous injection sites.
Which of the following cells are capable of differentiating into plasma cells? a) B lymphocytes b) Neutrophils c) T lymphocytes d) Eosinophils
B lymphocytes
Which type of leukocyte contains histamine and is an important part of hypersensitivity reactions? a) Basophils b) Neutrophil c) B lymphocyte d) Plasma cell
Basophils
The nurse recognizes the most common cause of iron deficiency anemia in an adult is which of the following? a) Lack of dietary iron b) Chronic alcoholism c) Bleeding d) Iron malabsorption
Bleeding
A client reports feeling tired, cold, and short of breath at times. Your assessment reveals tachycardia and reduced energy. What would you expect the physician to order? a) Antibiotic b) CBC c) Chest radiograph d) ECG
CBC
The nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity. What does the nurse understand is the rationale for this type of exercise? a) Isometric exercise decreases the workload of the heart and restores oxygenated blood flow. b) Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart. c) Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate. d) This type of exercise increases arterial circulation as it returns to the heart
Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
A patient with sickle cell anemia is to begin treatment for the disease with hydroxyurea (Hydrea). What does the nurse inform the patient will be the benefits of treatment with this medication? (Select all that apply.) a) Ability to reverse the damage done from sickling of cells b) Lower incidence of acute chest syndrome c) Decreased need for blood transfusions d) Decreased need for other analgesic medications e) Fewer painful episodes of sickle cell crisis
Fewer painful episodes of sickle cell crisis Lower incidence of acute chest syndrome Decreased need for blood transfusions
A patient was admitted to the hospital with the following lab values: hemoglobin 5 g/dL, abnormally shaped erythrocytes, leukocyte count 2000/mm3 with hypersegmented neutrophils and a platelet count of 48,000/mm3. The platelets appear abnormally large. A bone marrow biopsy was competed and revealed hyperplasia. Based on this information, the nurse determines that patient most likely has which of the following diagnoses? a) Hemolytic anemia b) Sickle cell anemia c) Thalassemia d) Folic acid deficiency
Folic acid deficiency
The nurse caring for a client with acute liver failure should expect which assessment finding? a) Decreased pulse b) Elevated blood pressure c) Elevated albumin level d) Generalized edema
Generalized edema
A patient has been diagnosed with thrombocytopenia. What are the primary nursing interventions while instituting corticosteroid therapy in this patient? a) Eliminate aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs). b) Gradually taper the dose and frequency of medication. c) Examine the extremities for redness. d) Palpate the lymph nodes and tonsils every shift.
Gradually taper the dose and frequency of medication.
Which of the following is the percentage of blood volume consisting of erythrocytes? a) Haemoglobin b) Differentiation c) Erythrocyte sedimentation rate (ESR) d) Haematocrit
Haematocrit
A male client has a hemoglobin count of 10.2 gm/dl, a hematocrit value of 36%, and a low ferritin level. What question should the nurse ask first? a) Have you experienced abdominal pain? b) Can you explain your typical diet? c) How much alcohol do you drink? d) Are you taking iron supplements?
Have you experienced abdominal pain?
A 36-year-old African American client has a history of sickle cell anemia with several sickle cell crises over the past 10 years. What blood component results in sickle cell anemia? a) Hemoglobin F b) Hemoglobin S c) Hemoglobin M d) Hemoglobin A
Hemoglobin S
A patient with ESRD is taking recombinant erythropoietin for the treatment of anemia. What laboratory study does the nurse understand will have to be assessed at least monthly related to this medication? a) Creatinine level b) Potassium level c) Folate levels d) Hemoglobin level
Hemoglobin level
A patient with ESRD is taking recombinant erythropoietin for the treatment of anemia. What laboratory study does the nurse understand will have to be assessed at least monthly related to this medication? a) Creatinine level b) Potassium level c) Hemoglobin level d) Folate levels
Hemoglobin level
A nurse is caring for a patient who has had a bone marrow aspiration with biopsy. What complication should the nurse be aware of and monitor the patient for? a) Hemorrhage b) Splintering of bone fragments c) Shock d) Blood transfusion reaction
Hemorrhage
The nurse observes a co-worker who always seems to be eating a cup of ice. The nurse encourages the co-worker to have an examination and diagnostic workup with the physician. What type of anemia is the nurse concerned the co-worker may have? a) Iron deficiency anemia b) Aplastic anemia c) Sickle cell anemia d) Megaloblastic anemia
Iron deficiency anemia
The nurse is performing an assessment for a client with anemia admitted to the hospital to have blood transfusions administered. Why would the nurse need to include a nutritional assessment for this patient? a) It will determine what type of anemia the patient has. b) It is important for the nurse to determine what type of foods the patient will eat. c) It is part of the required assessment information. d) It may indicate deficiencies in essential nutrients.
It may indicate deficiencies in essential nutrients.
A patient admitted to the hospital in preparation for a splenectomy for treatment of autoimmune haemolytic anaemia asks the nurse about the benefits of the splenectomy. Which of the following statements best explains the expected effect of the splenectomy? a) It will reduce the destruction of platelets by macrophages. b) It will remove the major site of red blood cell (RBC). c) it will increase red blood cell (RBC) production to compensate for blood loss. d) It will increase production of platelets by the bone marrow.
It will remove the major site of red blood cell (RBC).
A patient develops a hemolytic reaction to a blood transfusion. What actions should the nurse take after this occurs? (Select all that apply.) a) Administer diphenhydramine (Benadryl). b) Begin iron chelation therapy. c) Document the reaction according to policy. d) Obtain appropriate blood specimens. e) Collect a urine sample to detect hemoglobin.
Obtain appropriate blood specimens. Collect a urine sample to detect hemoglobin. Document the reaction according to policy.
A client at the clinic has just been diagnosed with iron deficiency anemia. What would you recommend the client consume to promote the absorption of iron? a) Vitamin E b) Sources of vitamin B12 c) Meat, egg yolks, oysters, and shellfish d) Rich sources of vitamin C
Rich sources of vitamin C
A nurse is preparing to discharge an adolescent with sickle cell anaemia. What client need should the nurse emphasise in her discharge assessment? a) The need for an adequate support structure b) The need to follow up with physician visits c) The need to maintain good hydration d) The need to have pain medication available
The need for an adequate support structure
Which client is most at risk for developing disseminated intravascular coagulation (DIC)? a) A client with a stage IV pressure ulcer b) A client admitted with suspected cocaine overdose c) A client with an amniotic fluid embolism d) A client with heart failure and renal failure
Which client is most at risk for developing disseminated intravascular coagulation (DIC)? a) A client with a stage IV pressure ulcer b) A client admitted with suspected cocaine overdose c) A client with an amniotic fluid embolism d) A client with heart failure and renal failure
An 84-year-old woman is to receive 2 units of packed red blood cells. During the transfusion of the first unit at 125 mL/hour, the client reports shortness of breath 30 minutes into the process. The client exhibits the vital signs shown in the accompanying table. The best nursing intervention is to: a) administer oxygen through nasal cannula at 2 L/minute b) contact the physician and obtain an order for diphenhydramine (Benadryl) c) obtain blood and urine specimens for a transfusion reaction d) slow the rate of the transfusion and obtain an order for furosemide (Lasix)
slow the rate of the transfusion and obtain an order for furosemide (Lasix)
In normal blood, monocytes account for approximately what percentage of the total leukocyte count? a) 5% b) 15% c) 20% d) 10%
5%
A patient with sickle cell disease is brought to the emergency department by a parent. The patient has a fever of 101.6°F, heart rate of 116, and a respiratory rate of 32. The nurse auscultates bilateral wheezes in both lung fields. What does the nurse suspect this patient is experiencing? a) Pulmonary edema b) An exacerbation of asthma c) Pneumocystis pneumonia d) Acute chest syndrome
Acute chest syndrome
A patient with sickle cell disease is brought to the emergency department by a parent. The patient has a fever of 101.6°F, heart rate of 116, and a respiratory rate of 32. The nurse auscultates bilateral wheezes in both lung fields. What does the nurse suspect this patient is experiencing? a) Pulmonary edema b) Pneumocystis pneumonia c) An exacerbation of asthma d) Acute chest syndrome
Acute chest syndrome
A client complains of feeling faint after donating blood. What is the nurse's best action? a) Keep client in recumbent position to rest. b) Place the client in Trendelenburg position. c) Ambulate client with assistance. d) Assist the client into high-Fowler's position.
Keep client in recumbent position to rest.
A nurse is reviewing a patient's morning lab results and notes a left shift in the band cells. Based on this observation, what interpretation can the nurse make from these results? a) The patient may be developing anemia. b) The patient may be developing an infection. c) The patient has thrombocytopenia. d) The patient has leukopenia.
The patient may be developing an infection.
A client is receiving chemotherapy for cancer. The nurse reviews the client's laboratory report and notes that he has thrombocytopenia. To which nursing diagnosis should the nurse give the highest priority? a) Impaired tissue integrity b) Impaired oral mucous membranes c) Ineffective tissue perfusion: Cerebral, cardiopulmonary, GI d) Activity intolerance
Ineffective tissue perfusion: Cerebral, cardiopulmonary, GI
A client is receiving platelets. In order to decreased the risk of circulatory overload in this client, the nurse should do which of the following? a) Infuse each unit over 30-60 minutes per client tolerance. b) Flush the intravenous line with a liter of saline between units. c) Monitor vital signs closely before transfusion and once per shift. d) Administer each unit slowly over 3-4 hours.
Infuse each unit over 30-60 minutes per client tolerance.
Which of the following terms refers to a form of white blood cell involved in immune response? a) Spherocyte b) Thrombocyte c) Lymphocyte d) Granulocyte
Lymphocyte
A nurse practitioner suspects that a patient may have aplastic anemia based on clinical manifestations and assessment. Which one of the following lab results would be consistent with this diagnosis? a) Erythrocyte count of 5.3 m/?L b) Hemoglobin level of 15 g/dL c) Platelet level of 275,000/mm3 d) Neutrophil count of 50%
Neutrophil count of 50%
The nurse's role in the management of polycythemia vera is primarily that of an educator. Choose the best health promotion advice that a nurse could give. a) Use compression stockings when walking to prevent deep vein thrombosis (DVT). b) Take antiplatelets on a regular basis. c) Participate in regular phlebotomy procedures to decrease blood viscosity. d) Take aspirin daily to prevent clot formation.
Participate in regular phlebotomy procedures to decrease blood viscosity.
Which of the following best describes the function of fibrinogen? a) Helps maintain the osmotic pressure b) Functions primarily as an immunological agent c) Plays a key role in forming blood clots d) Helps prevent or modify some types of infectious diseases
Plays a key role in forming blood clots
The client is planned to have a splenectomy. The nurse should prepare which medication to administer to this client? a) Factor VIII b) Immunoglobulin G (IgG) c) Pneumococcal vaccine d) Aspirin
Pneumococcal vaccine
One hour after a transfusion of packed red cells is started; a patient develops redness on his trunk and complains of itching. The nurse stops the red blood cell (RBC) infusion and administers the ordered diphenhydramine (Benadryl) 25 mg po. Thirty minutes later, the redness and itching is gone. What is the next action the nurse should take? a) Obtain blood and urine samples from the patient b) Send the blood back to the blood bank c) Position the patient in an upright position with the feet in a dependent position d) Resume the transfusion
Resume the transfusion
The nurse is preparing the patient for a test to determine the cause of vitamin B12 deficiency. The patient will receive a small oral dose of radioactive vitamin B12 followed by a large parenteral dose of nonradioactive vitamin B12. What test is the patient being prepared for? a) Bone marrow aspiration b) Magnetic resonance imaging (MRI) study c) Bone marrow biopsy d) Schilling test
Schilling test
A nurse is teaching a patient with a vitamin B12 deficiency about appropriate food choices to increase the amount of B12 ingested with each meal. The nurse knows the teaching is effective based on which of the following patient statements? a) "I will eat a meat source such as chicken or pork with each meal." b) "I will eat more dairy products such as milk, yogurt, and ice cream every day." c) "I will increase my daily intake of orange vegetables such as sweet potatoes and carrots." d) "I will eat a spinach salad with lunch and dinner."
"I will eat a meat source such as chicken or pork with each meal."
A patient with Hodgkin's disease had a bone marrow biopsy yesterday and is complaining of aching, rated at a 5 (on a 1-10 scale), at the biopsy site. After assessing the biopsy site, which of the following nursing interventions is most appropriate? a) Reposition the patient to a high Fowler's position and continue to monitor the pain b) Administer the ordered paracetamol 500 mg po c) Notify the physician d) Administer the ordered aspirin (ASA) 325 mg po
Administer the ordered paracetamol 500 mg po
For a client diagnosed with idiopathic thrombocytopenia purpura (ITP), which nursing intervention is appropriate? a) Administering stool softeners, as ordered, to prevent straining during defecation b) Administering platelets, as ordered, to maintain an adequate platelet count c) Giving aspirin, as ordered, to control body temperature d) Teaching coughing and deep-breathing techniques to help prevent infection
Administering stool softeners, as ordered, to prevent straining during defecation
A client comes to the walk-in clinic complaining of weakness and fatigue. While assessing this client, you find evidence of petechiae and ecchymoses. You note that the spleen appears enlarged. What would you suspect is wrong with this client? a) Iron-deficiency anemia b) Aplastic anemia c) Pernicious anemia d) Agranulocytosis
Aplastic anemia
A nurse caring for a client who has hemophilia is getting ready to take the client's vital signs. What should the nurse do before taking a blood pressure? a) Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints. b) Ask if taking a blood pressure has ever produced pain in the upper arm. c) Ask if taking a blood pressure has ever caused bruising in the hand and wrist. d) Ask if taking a blood pressure has ever produced the need for medication.
Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.
A patient with disseminated intravascular coagulation (DIC) has a critically low fibrinogen level and is beginning to haemorrhage. To increase the amount of fibrinogen in the body, the nurse anticipates administering which one of the following blood products? a) Fresh frozen plasma b) Albumin c) Packed red blood cells d) Cryoprecipitate
Cryoprecipitate
During a blood transfusion with packed red blood cells (RBCs), a patient begins to complain of chills, low back pain, and nausea. What priority action should the nurse take? a) Discontinue the infusion immediately and maintain the IV line with normal saline solution using new IV tubing b) Observe for additional symptoms and notify the physician c) Slow the infusion rate and continue to monitor the patient every 15 minutes d) Discontinue the infusion immediately and notify the physician
Discontinue the infusion immediately and maintain the IV line with normal saline solution using new IV tubing
A client is prescribed an intravenous dose of iron dextran. The nurse a) Checks the client's hemoglobin level the following day b) Ensures that epinephrine is available c) Realizes that use of this medication will produce a false-positive when checking stool for blood d) Informs the client that one dose will reverse iron-deficiency anemia
Ensures that epinephrine is available
Which nursing instructions help parents of a child with hemophilia provide a safe home environment for their child? a) "Be a role model to your child by wearing a helmet when riding a bike so your child will, too." b) "Pad the corners of coffee tables when your child is a toddler and provide kneepads for sports when the child is older." c) "Establish a written emergency plan including what to do in specific situations and the names and phone numbers of emergency contacts." d) "Talk with your child about home safety and have him problem-solve hypothetical situations about his health."
Establish a written emergency plan including what to do in specific situations and the names and phone numbers of emergency contacts."
When assessing a female patient with anaemia, which of the following assessments is essential? a) Health history, including menstrual history b) Lifestyle assessments, such as exercise routines c) Family history d) Age and gender
Health history, including menstrual history
Splenic sequestration is diagnosed in a client admitted with splenomegaly. What is the priority of care for this client? a) Hyperthermia b) Hypovolemia c) Hypertension d) Infection
Hypovolemia
The client's CBC with differential reveals small-shaped hemoglobin molecules. The nurse expects to administer which medication to this client? a) Folate b) Iron c) Vitamin B12 d) Fresh frozen plasma
Iron
Albumin is important for the maintenance of fluid balance within the vascular system. Albumin is produced by which of the following? a) Pancreas b) Large intestine c) Kidney d) Liver
Liver
During a routine assessment of a patient diagnosed with anemia, the nurse observes the patient's beefy red tongue. The nurse is aware that this is a sign of what kind of anemia? a) Autoimmune b) Iron deficiency c) Megaloblastic d) Folate deficiency
Megaloblastic
The body responds to infection by increasing the production of white blood cells (WBCs). The nurse knows to evaluate the differential count for the level of __________, the first WBCs to respond to an inflammatory event. a) Basophils b) Neutrophils c) Monocytes d) Eosinophils
Neutrophils
The nurse reviewing laboratory results of a client recovering from abdominal surgery notices an elevated number of reticulocytes. What is the nurse's first action? a) Notify the healthcare provider. b) Perform an abdominal assessment. c) Hold the prescribed blood transfusion. d) Document the findings as expected results.
Perform an abdominal assessment.
Under normal conditions, the adult bone marrow produces approximately 70 billion neutrophils. What is the major function of neutrophils? a) Production of antibodies called immunoglobulin (Ig) b) Rejection of foreign tissue c) Destruction of tumor cells d) Phagocytosis
Phagocytosis
The nurse is administering 2 units of packed RBCs to an older adult patient who has a bleeding duodenal ulcer. The patient begins to experience difficulty breathing and the nurse assesses crackles in the lung bases, jugular vein distention, and an increase in blood pressure. What action by the nurse is necessary if the reaction is severe? (Select all that apply.) a) Continue the infusion but slow the rate down. b) Discontinue the transfusion. c) Administer oxygen. d) Administer diuretics as prescribed. e) Place the patient in an upright position with the feet dependent.
Place the patient in an upright position with the feet dependent. Administer diuretics as prescribed. Discontinue the transfusion. Administer oxygen.
The nurse is completing a physical assessment on a client's lymphatic system. The nurse should palpate for enlarged nodes in which areas? Select all that apply. a) Spinal b) Popliteal c) Inguinal d) Neck e) Submental
Popliteal Inguinal Submental Neck
Which of the following is considered an antidote to heparin? a) Narcan b) Ipecac c) Protamine sulphate d) Vitamin K
Protamine sulphate
A nurse practitioner reviewed the blood work of a male patient suspected of having microcytic anemia. The nurse suspected occult bleeding. Identify the laboratory result that would indicate this initial stage of iron deficiency. a) Serum iron: 100 ?g/dL b) Serum ferritin: 15 ng/mL c) Total iron-binding capacity: 300 ?g/dL d) Hemoglobin: 16 g/dL
Serum ferritin: 15 ng/mL
The nurse expects which assessment finding of the oral cavity when the client is diagnosed with pernicious anemia? a) Smooth tongue b) Enlarged gums c) Ulcerations of oral mucosa d) Angular cheilosis
Smooth tongue
A nurse, caring for a patient with human immunodeficiency virus (HIV), reviews the patient's differential WBC count to check the level of which of the following? a) Monocytes b) B lymphocytes c) T lymphocytes d) Leukocytes
T lymphocytes
A patient comes into the emergency room with complaints of an enlarged tongue. The tongue appears smooth and beefy red in colour. The nurse also observes a 5-cm incision on the upper left quadrant of the abdomen. When questioned, the patient states, "I had a partial gastrostomy 2 years ago." Based on this information, the nurse attributes these symptoms to which of the following problems? a) Vitamin A deficiency b) Vitamin C deficiency c) Folic acid deficiency d) Vitamin B12 deficiency
Vitamin B12 deficiency
During preparation for bowel surgery, a client receives an antibiotic to reduce intestinal bacteria. The nurse knows that hypoprothrombinemia may occur as a result of antibiotic therapy interfering with synthesis of which vitamin? a) Vitamin K b) Vitamin D c) Vitamin A d) Vitamin E
Vitamin K
A 67-year-old client at the free clinic where you practice nursing has a history of seizures and presents with severe fatigue, frequent headaches, and a sore and beefy red tongue. Which of the following could be causing her current condition? Select all that apply. a) Lack of vitamin B b) Alcoholism c) Lack of meat consumption d) Intestinal disorders
alcoholism intestinal disorders
A patient receiving plasma develops transfusion-related acute lung injury (TRALI) 4 hours after the transfusion. What type of aggressive therapy does the nurse anticipate the patient will receive to prevent death from the injury? (Select all that apply.) a) Oxygen b) Intra-aortic balloon pump c) Fluid support d) Intubation and mechanical ventilation e) Serial chest x-rays
oxygen fluid support intubation and mechanical ventilation
A male patient has a probable diagnosis of polycythemia vera. The nurse reviews the patient's lab work for which of the following diagnostic indicator? a) Hematocrit of 60% b) Erythrocyte count of 6.5 m/?L c) Leukocyte count of 11,500/mm3 d) Platelet value of 350,000/mm3
Hematocrit of 60%
An 82-year-old client has pernicious anemia and has been receiving treatment for several years. Which symptom may be confused with another condition in older adults? a) Ataxia b) Stomatitis c) Dementia d) Glossitis
Dementia
A patient who has idiopathic thrombocytopenia purpura (ITP) has a critically low platelet count. Which nursing intervention will be included in the care plan for a patient with ITP? a) Administer eltrombopag (Promacta) b) Administer epoetin alfa (Epogen) c) Enforce strict contact isolation d) Place patient in a private room
Administer eltrombopag (Promacta)
Which of the following is a symptom of Haemochromatosis? a) Bronzing of the skin b) Weight gain c) Inflammation of the mouth d) Inflammation of the tongue
Bronzing of the skin
The charge nurse should intervene when observing a new nurse perform which action after a client has suffered a possible hemolytic blood transfusion reaction? a) Documenting the reaction in the client's medical record. b) Informing the client to leave a urine sample after the client's next void. c) Notifying the blood bank of the reaction. d) Disposing of the blood container and tubing in biohazard waste.
Disposing of the blood container and tubing in biohazard waste.
You are caring for a 13-year-old diagnosed with sickle cell anemia. The client asks you what they can do to help prevent sickle cell crisis. What would be an appropriate answer to this client? a) Avoid any sports that tire you out. b) Stay on oxygen therapy 24/7. c) Avoid any activity that makes you short of breath. d) Drink at least 8 glasses of water every day.
Drink at least 8 glasses of water every day.
When assessing a female patient with a disorder of the hematopoietic or the lymphatic system, which of the following assessments is most essential? a) Lifestyle assessments, such as exercise routines b) Age and gender c) Health history, such as bleeding, fatigue, or fainting d) Menstrual history
Health history, such as bleeding, fatigue, or fainting
A patient with ESRD is taking recombinant erythropoietin for the treatment of anemia. What laboratory study does the nurse understand will have to be assessed at least monthly related to this medication? a) Folate levels b) Creatinine level c) Hemoglobin level d) Potassium level
Hemoglobin level
When administering a blood transfusion to a client with multiple traumatic injuries, the nurse monitors closely for evidence of a transfusion reaction. Shortly after the transfusion begins, the client complains of chest pain, nausea, and itching. When urticaria, tachycardia, and hypotension develop, the nurse stops the transfusion and notifies the physician. The nurse suspects which type of hypersensitivity reaction? a) Type I (immediate, anaphylactic) hypersensitivity reaction b) Type IV (cell-mediated, delayed) hypersensitivity reaction c) Type II (cytolytic, cytotoxic) hypersensitivity reaction d) Type III (immune complex) hypersensitivity reaction
Type II (cytolytic, cytotoxic) hypersensitivity reaction
When evaluating a patient's symptoms that are consistent with a diagnosis of leukemia, the nurse is aware that a common feature of all leukemias is which of the following? a) Reduced plasma volume in response to a reduced production of cellular elements b) Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements c) Increased blood viscosity, resulting from an overproduction of white cells d) Compensatory polycythemia stimulated by thrombocytopenia
Unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements
A client with sepsis is experiencing disseminated intravascular coagulation (DIC). The client is bleeding from mucous membranes, venipuncture sites, and the rectum. Blood is present in the urine. The nurse establishes the nursing diagnosis of Risk for deficient fluid volume related to bleeding. The most appropriate and measurable outcome for this client is that the client exhibits a) Decreased bleeding b) Systolic blood pressure greater than 70 mm Hg c) Urine output greater than or equal to 30 mL/hour d) Stable level of consciousness
Urine output greater than or equal to 30 mL/hour
During preparation for bowel surgery, a client receives an antibiotic to reduce intestinal bacteria. The nurse knows that hypoprothrombinemia may occur as a result of antibiotic therapy interfering with synthesis of which vitamin? a) Vitamin K b) Vitamin A c) Vitamin E d) Vitamin D
Vitamin K
The couple with the lowest risk of having a child with sickle cell anemia disease is the one in which the: a) father is HbS and the mother is HbAS. b) father is HbS and the mother is HbS. c) father is HbAS and the mother is HbAS. d) father is HbA and the mother is HbS.
father is HbA and the mother is HbS.
