Question 1

When a nurse is preparing to give ferrous sulfate (Feosol)to a home health care patient, what is the most appropriate nursing action to implement?

Accepted Answer

A)  Mix the drug with a high-protein milkshake. 
B)  Give it undiluted with a small snack. 
C)  Mix it with coffee or cola to disguise the bitter taste. 
D)  Dilute it and offer through a straw and a few crackers. 
A)  Mix the drug with a high-protein milkshake. 
B)  Give it undiluted with a small snack. 
C)  Mix it with coffee or cola to disguise the bitter taste. 
D)  Dilute it and offer through a straw and a few crackers. D

Question 2

What is the major difference between fresh-frozen plasma (FFP)and cryoprecipitate (CPP)?

Accepted Answer

A)  FFP contains more albumin. 
B)  FFP has a longer infusion time. 
C)  FFP contains no platelets. 
D)  FFP has a very high probability of causing an allergic reaction. 
A)  FFP contains more albumin. 
B)  FFP has a longer infusion time. 
C)  FFP contains no platelets. 
D)  FFP has a very high probability of causing an allergic reaction. C

Question 3

A nurse plans the interventions to prepare a patient for a bone marrow aspiration._____ (Place the options in the correct sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Assist the patient to lie on his or her abdomen and drape the hip and lower limbs. 
B) Confirm the presence of laboratory personnel to stain the specimen. 
C) Apply a pressure dressing and help the patient lie on his or her back. 
D) Ensure that a signed permission form is obtained. 
E) Explain that the procedure will take about 30 minutes. 
A) Assist the patient to lie on his or her abdomen and drape the hip and lower limbs. 
B) Confirm the presence of laboratory personnel to stain the specimen. 
C) Apply a pressure dressing and help the patient lie on his or her back. 
D) Ensure that a signed permission form is obtained. 
E) Explain that the procedure will take about 30 minutes. E,D,A,B,C

Question 4

What medical history information is significant to potential bleeding problems? (Select all that apply.)

Accepted Answer

A)  Drinks two glasses of wine a day 
B)  Eats red meat three times a week 
C)  Takes nonsteroidal anti-inflammatory drugs (NSAIDs)for the relief of arthritic pain four times a day 
D)  Has hepatitis B 
E)  Had a cardiac valve replaced 6 months earlier 
A)  Drinks two glasses of wine a day 
B)  Eats red meat three times a week 
C)  Takes nonsteroidal anti-inflammatory drugs (NSAIDs)for the relief of arthritic pain four times a day 
D)  Has hepatitis B 
E)  Had a cardiac valve replaced 6 months earlier

Question 5

A nurse is caring for a patient receiving a transfusion and assesses that the patient is wheezing and is complaining of back pain.What nursing action should take place after stopping the transfusion?

Accepted Answer

A)  Discontinue the intravenous (IV)transfusion. 
B)  Notify the charge nurse. 
C)  Administer heparin. 
D)  Raise the patient's head. 
A)  Discontinue the intravenous (IV)transfusion. 
B)  Notify the charge nurse. 
C)  Administer heparin. 
D)  Raise the patient's head.

Question 6

A nurse is giving iron dextran intramuscularly (IM).Why should the nurse implement the Z-track method?

Accepted Answer

A)  Makes the injection less painful 
B)  Prevents staining of the skin 
C)  Prevents postinjection pain 
D)  Allows another injection to be given at the same location 
A)  Makes the injection less painful 
B)  Prevents staining of the skin 
C)  Prevents postinjection pain 
D)  Allows another injection to be given at the same location

Question 7

To what level should the platelet count rise when the patient with a platelet count of 20,000/mm3 receives 1 unit of platelets?

Accepted Answer

A)  25,000 to 30,000/mm3 
B)  35,000 to 40,000/mm3 
C)  45,000 to 50,000/mm3 
D)  55,000 to 100,000/mm3 
A)  25,000 to 30,000/mm3 
B)  35,000 to 40,000/mm3 
C)  45,000 to 50,000/mm3 
D)  55,000 to 100,000/mm3

Question 8

A nurse is completing an initial assessment on a new patient being seen in the hospital clinic.The presentation of this female patient includes vague symptoms of tiredness and large areas of ecchymosis.Which question is most important for the nurse to ask?

Accepted Answer

A)  "Are you allergic to anything?" 
B)  "Do your gums easily bleed?" 
C)  "How many hours do you sleep?" 
D)  "How frequent are your periods?" 
A)  "Are you allergic to anything?" 
B)  "Do your gums easily bleed?" 
C)  "How many hours do you sleep?" 
D)  "How frequent are your periods?"

Question 9

A nurse is taking the history of a patient who has come in for evaluation of large areas of purpura on her limbs.The patient reports using alternative therapy for her menopausal symptoms.What alternative therapy is most likely responsible for the patient's symptoms?

Accepted Answer

A)  Black cohosh 
B)  Valerian 
C)  Lavender 
D)  Rosemary 
A)  Black cohosh 
B)  Valerian 
C)  Lavender 
D)  Rosemary

Question 10

Which is considered an approximate normal hematocrit value?

Accepted Answer

A)  Three times the hemoglobin value 
B)  The same as the hemoglobin value 
C)  Four times lower than the red blood cell count 
D)  Same as the red blood cell count 
A)  Three times the hemoglobin value 
B)  The same as the hemoglobin value 
C)  Four times lower than the red blood cell count 
D)  Same as the red blood cell count

Question 11

At 1000 a nurse receives 2 units of blood for a patient to be transfused.What is the most appropriate nursing action?

Accepted Answer

A)  Set up 1 unit for the infusion to start by 1030 and send the other unit back until the first one has infused. 
B)  Set up both units to infuse at the same time and to start at 1100. 
C)  Set up one unit for infusion and place the other in the refrigerator for the later infusion. 
D)  Send both units back and ask for a reissue of 1 unit only. 
A)  Set up 1 unit for the infusion to start by 1030 and send the other unit back until the first one has infused. 
B)  Set up both units to infuse at the same time and to start at 1100. 
C)  Set up one unit for infusion and place the other in the refrigerator for the later infusion. 
D)  Send both units back and ask for a reissue of 1 unit only.

Question 12

A nurse is assessing a patient 20 minutes after a bone marrow biopsy.Which statement by the patient is cause for the most concern?

Accepted Answer

A)  "There is fresh blood on my dressing." 
B)  "I am thirsty." 
C)  "My hip feels bruised where they stuck the needle." 
D)  "I had a sharp pain in my leg when they pulled the needle out." 
A)  "There is fresh blood on my dressing." 
B)  "I am thirsty." 
C)  "My hip feels bruised where they stuck the needle." 
D)  "I had a sharp pain in my leg when they pulled the needle out."

Exam 29: Hematologic System Introduction

When a nurse is preparing to give ferrous sulfate (Feosol)to a home health care patient, what is the most appropriate nursing action to implement?

What is the major difference between fresh-frozen plasma (FFP)and cryoprecipitate (CPP)?

A nurse plans the interventions to prepare a patient for a bone marrow aspiration._____ (Place the options in the correct sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

What medical history information is significant to potential bleeding problems? (Select all that apply.)

A nurse is caring for a patient receiving a transfusion and assesses that the patient is wheezing and is complaining of back pain.What nursing action should take place after stopping the transfusion?

A nurse is giving iron dextran intramuscularly (IM).Why should the nurse implement the Z-track method?

To what level should the platelet count rise when the patient with a platelet count of 20,000/mm3 receives 1 unit of platelets?

A nurse is completing an initial assessment on a new patient being seen in the hospital clinic.The presentation of this female patient includes vague symptoms of tiredness and large areas of ecchymosis.Which question is most important for the nurse to ask?

A nurse is taking the history of a patient who has come in for evaluation of large areas of purpura on her limbs.The patient reports using alternative therapy for her menopausal symptoms.What alternative therapy is most likely responsible for the patient's symptoms?

Which is considered an approximate normal hematocrit value?

At 1000 a nurse receives 2 units of blood for a patient to be transfused.What is the most appropriate nursing action?

A nurse is assessing a patient 20 minutes after a bone marrow biopsy.Which statement by the patient is cause for the most concern?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

Filters

To what level should the platelet count rise when the patient with a platelet count of 20,000/mm³ receives 1 unit of platelets?