Question 1

The nurse is caring for a patient with sickle cell anemia.Which intervention may best help prevent sickle cell crisis?

Accepted Answer

A)  Taking iron supplements daily 
B)  Maintaining adequate fluid intake 
C)  Engaging in daily exercise 
D)  Eating leafy green vegetables 
A)  Taking iron supplements daily 
B)  Maintaining adequate fluid intake 
C)  Engaging in daily exercise 
D)  Eating leafy green vegetables B

Question 2

The home health nurse is caring for a patient who is taking ferrous sulfate (Feosol).Which statement indicates that the patient requires additional teaching about this medication?

Accepted Answer

A)  "It tastes better when I take my medicine with milk." 
B)  "My wife says I should take my medicine with orange juice." 
C)  "I am always careful not to break open the capsule." 
D)  "I usually take my iron with my whole-grain toast during breakfast." 
A)  "It tastes better when I take my medicine with milk." 
B)  "My wife says I should take my medicine with orange juice." 
C)  "I am always careful not to break open the capsule." 
D)  "I usually take my iron with my whole-grain toast during breakfast." A

Question 3

The patient with AML has a platelet count of 95,000.What interventions should the nurse include in the patient's care plan?

Accepted Answer

A)  Observe for melena and hematuria. 
B)  Instruct the patient to brush and floss at least twice daily. 
C)  Measure abdominal girth daily. 
D)  Apply ice and pressure to puncture sites. 
E)  Instruct the patient to use an electric razor. 
A)  Observe for melena and hematuria. 
B)  Instruct the patient to brush and floss at least twice daily. 
C)  Measure abdominal girth daily. 
D)  Apply ice and pressure to puncture sites. 
E)  Instruct the patient to use an electric razor. A,C,D,E

Question 4

The nurse is caring for a patient with anemia who has a past medical history of diabetes,hypertension,chronic kidney disease,and acid reflux.The nurse is aware the patient's anemia is likely related to which condition?

Accepted Answer

A)  Diabetes 
B)  Hypertension 
C)  Chronic kidney disease 
D)  Acid reflux 
A)  Diabetes 
B)  Hypertension 
C)  Chronic kidney disease 
D)  Acid reflux

Question 5

The nurse is caring for a 79-year-old male who underwent a gastrectomy 1 month ago.The nurse recognizes that this patient is at the greatest risk for which type of anemia?

Accepted Answer

A)  Aplastic anemia 
B)  Pernicious anemia 
C)  Iron deficiency anemia 
D)  Nutritional anemia 
A)  Aplastic anemia 
B)  Pernicious anemia 
C)  Iron deficiency anemia 
D)  Nutritional anemia

Question 6

How often should a patient with polycythemia vera have phlebotomy to thin the blood?

Accepted Answer

A)  Every 2 to 3 weeks 
B)  Monthly 
C)  Every 2 to 3 months 
D)  Semiannually 
A)  Every 2 to 3 weeks 
B)  Monthly 
C)  Every 2 to 3 months 
D)  Semiannually

Question 7

The nurse explains to a person who has undergone bone marrow transplantation (BMT)that engraftment takes up to ____________________ weeks.

Accepted Answer

5
five
Engraftment t

Question 8

The nurse is aware that bone marrow transplantation (BMT)is a treatment alternative for aplastic anemia for people under the age of ____________________.

Accepted Answer

45
forty-five
People

Question 9

Blood infusions must be started within how many minutes of its arrival on the unit?

Accepted Answer

A)  10 minutes 
B)  15 minutes 
C)  30 minutes 
D)  60 minutes 
A)  10 minutes 
B)  15 minutes 
C)  30 minutes 
D)  60 minutes

Question 10

The nurse is caring for a patient with sickle cell anemia.Based on the underlying pathophysiology of this disorder,the nurse should carefully perform which detailed assessment?

Accepted Answer

A)  Examination for skin breakdown 
B)  Auscultation of lungs 
C)  Abdominal girth measurement 
D)  Palpation of radial pulses 
A)  Examination for skin breakdown 
B)  Auscultation of lungs 
C)  Abdominal girth measurement 
D)  Palpation of radial pulses

Question 11

Which statement accurately describes induction therapy for acute lymphocytic leukemia (ALL)?

Accepted Answer

A)  Induction therapy is an intensive protocol of chemotherapy in high doses to achieve remission. 
B)  Induction therapy is a long-term protocol with smaller doses of chemotherapy to achieve a cure. 
C)  Induction therapy is a 2- to 5-year low-dose chemotherapy regimen to reduce painful symptoms. 
D)  Induction therapy is a combination of chemotherapy and radiation to achieve remission. 
A)  Induction therapy is an intensive protocol of chemotherapy in high doses to achieve remission. 
B)  Induction therapy is a long-term protocol with smaller doses of chemotherapy to achieve a cure. 
C)  Induction therapy is a 2- to 5-year low-dose chemotherapy regimen to reduce painful symptoms. 
D)  Induction therapy is a combination of chemotherapy and radiation to achieve remission.

Question 12

The nurse makes a visual aid differentiating between mild,moderate,and severe anemia.Which signs and symptoms are manifestations of mild anemia?

Accepted Answer

A)  Hemoglobin of 14.4 g/dL 
B)  Palpitations 
C)  Dyspnea on exertion 
D)  Pallor 
E)  Fatigue 
A)  Hemoglobin of 14.4 g/dL 
B)  Palpitations 
C)  Dyspnea on exertion 
D)  Pallor 
E)  Fatigue

Question 13

The nurse is monitoring a patient who is receiving a blood transfusion.Which finding(s)would lead the nurse to stop the infusion?

Accepted Answer

A)  Report of chills 
B)  Headache 
C)  Back pain 
D)  Report of a rash 
E)  Fever 
A)  Report of chills 
B)  Headache 
C)  Back pain 
D)  Report of a rash 
E)  Fever

Question 14

The nurse is caring for a 20-year-old female patient with sickle cell trait.Which statement accurately reflects this patient's condition?

Accepted Answer

A)  The condition will evolve into sickle cell anemia as she ages. 
B)  All of her children will have sickle cell anemia. 
C)  The trait will be transmitted to male children only. 
D)  The trait can be passed on to all children. 
A)  The condition will evolve into sickle cell anemia as she ages. 
B)  All of her children will have sickle cell anemia. 
C)  The trait will be transmitted to male children only. 
D)  The trait can be passed on to all children.

Question 15

A patient with a nutritional anemia may lack which nutrients?

Accepted Answer

A)  Proteins 
B)  Vitamin B1 
C)  Folic acid 
D)  Zinc 
E)  Iron 
A)  Proteins 
B)  Vitamin B1 
C)  Folic acid 
D)  Zinc 
E)  Iron

Question 16

The nurse is assessing a patient with polycythemia vera.Which finding is consistent with this disorder?

Accepted Answer

A)  Pallor 
B)  Blood pressure (BP) of 100/60 
C)  Hemoglobin of 17 mg/dL 
D)  Agitation 
A)  Pallor 
B)  Blood pressure (BP) of 100/60 
C)  Hemoglobin of 17 mg/dL 
D)  Agitation

Question 17

The home health nurse is caring for a patient with polycythemia vera.Which focus is most important for the nurse to emphasize?

Accepted Answer

A)  Maintenance of high fluid intake 
B)  Daily exercise to reduce weight 
C)  Daily dose of anticoagulants 
D)  Adequate intake of vitamin C 
A)  Maintenance of high fluid intake 
B)  Daily exercise to reduce weight 
C)  Daily dose of anticoagulants 
D)  Adequate intake of vitamin C

Question 18

Which descriptions accurately characterize the appearance of red blood cells (RBCs)in iron deficiency anemia?

Accepted Answer

A)  Normochromic and normocytic 
B)  Hypochromic and microcytic 
C)  Hyperchromic and macrocytic 
D)  Normochromic and microcytic 
A)  Normochromic and normocytic 
B)  Hypochromic and microcytic 
C)  Hyperchromic and macrocytic 
D)  Normochromic and microcytic

Question 19

The nurse is caring for a patient with aplastic anemia.Which actions are most important for the nurse to take?

Accepted Answer

A)  Alternate activity with periods of rest and provide magazines. 
B)  Provide a soft toothbrush and decrease clutter in the room. 
C)  Request an order for telemetry and limit intake of potassium-rich foods. 
D)  Encourage the patient to reposition regularly and float heels on pillows. 
A)  Alternate activity with periods of rest and provide magazines. 
B)  Provide a soft toothbrush and decrease clutter in the room. 
C)  Request an order for telemetry and limit intake of potassium-rich foods. 
D)  Encourage the patient to reposition regularly and float heels on pillows.

Question 20

Iron deficiency anemia impacts adequate production of which component?

Accepted Answer

A)  Plasma 
B)  White blood cells (WBCs) 
C)  Hemoglobin 
D)  Antibodies 
A)  Plasma 
B)  White blood cells (WBCs) 
C)  Hemoglobin 
D)  Antibodies

Exam 16: Care of Patients with Hematologic Disorders

The nurse is caring for a patient with sickle cell anemia.Which intervention may best help prevent sickle cell crisis?

The home health nurse is caring for a patient who is taking ferrous sulfate (Feosol).Which statement indicates that the patient requires additional teaching about this medication?

The patient with AML has a platelet count of 95,000.What interventions should the nurse include in the patient's care plan?

The nurse is caring for a patient with anemia who has a past medical history of diabetes,hypertension,chronic kidney disease,and acid reflux.The nurse is aware the patient's anemia is likely related to which condition?

The nurse is caring for a 79-year-old male who underwent a gastrectomy 1 month ago.The nurse recognizes that this patient is at the greatest risk for which type of anemia?

How often should a patient with polycythemia vera have phlebotomy to thin the blood?

The nurse explains to a person who has undergone bone marrow transplantation (BMT)that engraftment takes up to ____________________ weeks.

The nurse is aware that bone marrow transplantation (BMT)is a treatment alternative for aplastic anemia for people under the age of ____________________.

Blood infusions must be started within how many minutes of its arrival on the unit?

The nurse is caring for a patient with sickle cell anemia.Based on the underlying pathophysiology of this disorder,the nurse should carefully perform which detailed assessment?

Which statement accurately describes induction therapy for acute lymphocytic leukemia (ALL)?

The nurse makes a visual aid differentiating between mild,moderate,and severe anemia.Which signs and symptoms are manifestations of mild anemia?

The nurse is monitoring a patient who is receiving a blood transfusion.Which finding(s)would lead the nurse to stop the infusion?

The nurse is caring for a 20-year-old female patient with sickle cell trait.Which statement accurately reflects this patient's condition?

A patient with a nutritional anemia may lack which nutrients?

The nurse is assessing a patient with polycythemia vera.Which finding is consistent with this disorder?

The home health nurse is caring for a patient with polycythemia vera.Which focus is most important for the nurse to emphasize?

Which descriptions accurately characterize the appearance of red blood cells (RBCs)in iron deficiency anemia?

The nurse is caring for a patient with aplastic anemia.Which actions are most important for the nurse to take?

Iron deficiency anemia impacts adequate production of which component?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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