Exam 27: Hematological and Lymphatic System Function, Assessment, and Therapeutic Measures

The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which result would concern the nurse the most?

A patient is being prepared to receive a prescribed blood transfusion. What is the best way that the licensed practical nurse (LPN) can assist the health team to prevent a transfusion reaction?

The nurse is reviewing laboratory values for a female patient and notes a hemoglobin level of 8.2 g/100 mL and a hematocrit level of 21%. These levels are found in patients with which condition?

A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the patient's vital signs were blood pressure 132/82 mm Hg and pulse 88 beats/min. One hour after the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which assessment is the least important for the patient at this time?

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

The nurse is preparing a patient for a blood transfusion. The patient has type O blood. Which blood type can this patient receive?

The nurse is caring for a group of patients. Which patient should the nurse see first?

The nurse is caring for a patient who underwent a bone marrow biopsy. What is the role of the licensed practical nurse/licensed vocational nurse (LPN/LVN) in this patient's care?

A patient is prescribed to receive two units of packed red blood cells (PRBCs). What approach should the nurse use to ensure that the correct blood will be provided to this patient?

-The nurse is caring for a patient who received a blood transfusion and experienced a hemolytic reaction. Place in order, from 1 to 5, the steps the nurse should take. ___ A) Administer IV fluid. ___ B) Have a colleague notify the HCP. ___ C) Stop the transfusion. ___ D) Call the blood bank. ___ E) Stay with the patient.

The nurse is preparing to administer a cyanocobalamin (B₁₂) injection 1,000 mcg IM to a patient with B₁₂ deficiency. Available vials are 1,000 mcg/mL. How many mL will the nurse administer? Enter the numeral only.

The patient asks the nurse how much blood is in the body. Which response by the nurse is accurate? 1.1-3 liters

The nurse is preparing to infuse a liter of normal saline over 4 hours IV to a patient who experienced a hemolytic reaction to blood. The drop factor is 15 gtt/mL. Calculate the drip factor. Enter the numeral only. Round to the nearest whole number.

The nurse is caring for a patient who reports feeling several enlarged lymph nodes. The nurse should plan to prepare the patient for which test?

While receiving a unit of PRBCs, the patient begins to experience hives around the neck and upper chest. What actions should the nurse perform because of this reaction? (Select all that apply.)

The nurse is caring for a patient with a clotting disorder. Which should the nurse plan to administer?

The nurse is caring for a patient with folic acid deficiency anemia. Which patient is at risk for this condition?

The nurse is caring for a patient with anemia. Which clinical manifestations can the nurse expect to document? (Select all that apply.)

A patient who underwent lymphangiography the day before asks the LPN, "Why does my urine look blue?" What should the LPN respond to this patient's concern?