Exam 40: Care of Patients with Hematologic Problems

A nurse is preparing to administer a blood transfusion.What action is most important?

A client has received a bone marrow transplant and is waiting for engraftment.What actions by the nurse are most appropriate? (Select all that apply.)

A client has a serum ferritin level of 8 ng/mL and microcytic red blood cells.What action by the nurse is best?

A client presents to the emergency department in sickle cell crisis.What intervention by the nurse takes priority?

A client hospitalized with sickle cell crisis frequently asks for opioid pain medications,often shortly after receiving a dose.The nurses on the unit believe the client is drug seeking.When the client requests pain medication,what action by the nurse is best?

A client has heparin-induced thrombocytopenia (HIT).The student nurse asks how this is treated.About what drugs does the nurse instructor teach? (Select all that apply.)

A client has Hodgkin's lymphoma,Ann Arbor stage Ib.For what manifestations should the nurse assess the client? (Select all that apply.)

A nursing student is caring for a client with leukemia.The student asks why the client is still at risk for infection when the client's white blood cell count (WBC)is high.What response by the registered nurse is best?

A nurse is caring for four clients with leukemia.After hand-off report,which client should the nurse see first?

A nurse is caring for a young male client with lymphoma who is to begin treatment.What teaching topic is a priority?

A student nurse is learning about blood transfusion compatibilities.What information does this include? (Select all that apply.)

A student studying leukemias learns the risk factors for developing this disorder.Which risk factors does this include? (Select all that apply.)

A client has a platelet count of 25,000/mm³.What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A nurse in a hematology clinic is working with four clients who have polycythemia vera.Which client should the nurse see first?

A client receiving a blood transfusion develops anxiety and low back pain.After stopping the transfusion,what action by the nurse is most important?

A client with multiple myeloma demonstrates worsening bone density on diagnostic scans.About what drug does the nurse plan to teach this client?

A client has a sickle cell crisis with extreme lower extremity pain.What comfort measure does the nurse delegate to the unlicensed assistive personnel (UAP)?

A client with autoimmune idiopathic thrombocytopenic purpura (ITP)has had a splenectomy and returned to the surgical unit 2 hours ago.The nurse assesses the client and finds the abdominal dressing saturated with blood.What action is most important?

A nurse is caring for a client who is about to receive a bone marrow transplant.To best help the client cope with the long recovery period,what action by the nurse is best?

A student nurse is helping a registered nurse with a blood transfusion.Which actions by the student are most appropriate? (Select all that apply.)