Exam 40: Care of Patients with Hematologic Problems

A nurse is preparing to administer a blood transfusion to an older adult.Understanding age-related changes,what alterations in the usual protocol are necessary for the nurse to implement? (Select all that apply.)

A client with sickle cell disease (SCD)takes hydroxyurea (Droxia).The client presents to the clinic reporting an increase in fatigue.What laboratory result should the nurse report immediately?

A nurse caring for a client with sickle cell disease (SCD)reviews the client's laboratory work.Which finding should the nurse report to the provider?

A client has been admitted after sustaining a humerus fracture that occurred when picking up the family cat.What test result would the nurse correlate to this condition?

A nurse working with clients with sickle cell disease (SCD)teaches about self-management to prevent exacerbations and sickle cell crises.What factors should clients be taught to avoid? (Select all that apply.)

The nurse assesses a client's oral cavity and makes the discovery shown in the photo below: What action by the nurse is most appropriate?

A client has been treated for a deep vein thrombus and today presents to the clinic with petechiae.Laboratory results show a platelet count of 42,000/mm³.The nurse reviews the client's medication list to determine if the client is taking which drug?

A client in sickle cell crisis is dehydrated and in the emergency department.The nurse plans to start an IV.Which fluid choice is best?

The nurse is caring for a client with leukemia who has the priority problem of fatigue.What action by the client best indicates that an important goal for this problem has been met?

A client admitted for sickle cell crisis is distraught after learning her child also has the disease.What response by the nurse is best?

A nurse is preparing to hang a blood transfusion.Which action is most important?

A client has Crohn's disease.What type of anemia is this client most at risk for developing?

A client has thrombocytopenia.What client statement indicates the client understands self-management of this condition?

A client has frequent hospitalizations for leukemia and is worried about functioning as a parent to four small children.What action by the nurse would be most helpful?

A client with chronic anemia has had many blood transfusions.What medications does the nurse anticipate teaching the client about adding to the regimen? (Select all that apply.)

A client has a platelet count of 9000/mm³.The nurse finds the client confused and mumbling.What action takes priority?

A nursing student is struggling to understand the process of graft-versus-host disease.What explanation by the nurse instructor is best?

The family of a neutropenic client reports the client "is not acting right." What action by the nurse is the priority?