Question 1

When caring for a patient with advanced multiple myeloma,the nursing staff must exercise extreme care to prevent which complication?

Accepted Answer

A)  Pain 
B)  Hematomas 
C)  Muscle spasms 
D)  Pathologic fractures 
A)  Pain 
B)  Hematomas 
C)  Muscle spasms 
D)  Pathologic fractures

Question 2

The student nurse is preparing to administer an iron preparation via the intramuscular (IM)route.Which action indicates the need for further instruction?

Accepted Answer

A)  The student changes needles after drawing up the medication. 
B)  The student administers 3 mL at the ventrogluteal site. 
C)  The student chooses a 20-gauge needle. 
D)  The student uses the Z-track technique when administering the injection. 
A)  The student changes needles after drawing up the medication. 
B)  The student administers 3 mL at the ventrogluteal site. 
C)  The student chooses a 20-gauge needle. 
D)  The student uses the Z-track technique when administering the injection.

Question 3

The nurse is caring for patient with iron deficiency anemia.The nurse should encourage intake of which food(s)?

Accepted Answer

A)  Liver 
B)  Lima beans 
C)  Prune juice 
D)  Cabbage 
E)  Dried apricots 
A)  Liver 
B)  Lima beans 
C)  Prune juice 
D)  Cabbage 
E)  Dried apricots

Question 4

The patient with acute myelogenous leukemia (AML)has a volume of blood extracted by machine,white cells are extracted in the machine,and the blood is then returned to the patient.This process is called ____________________.

Accepted Answer

leukapheresis
Leukapheresis is

Question 5

The patient with acute myelogenous leukemia (AML)asks why he is making more WBCs when he already has so many.Which statement clarifies the underlying pathophysiology related to the patient's white blood cells (WBCs)?

Accepted Answer

A)  "The large number of leukemic white cells that you already have are not as effective as normal white cells." 
B)  "The large number of leukemic white cells that you already have protect against infection." 
C)  "The large number of leukemic white cells that you already have attempt to take over the functions of RBCs. 
D)  "The large number of leukemic white cells that you already have are produced by the lymphatic system." 
A)  "The large number of leukemic white cells that you already have are not as effective as normal white cells." 
B)  "The large number of leukemic white cells that you already have protect against infection." 
C)  "The large number of leukemic white cells that you already have attempt to take over the functions of RBCs. 
D)  "The large number of leukemic white cells that you already have are produced by the lymphatic system."

Question 6

When assessing a complete blood count (CBC)of a patient with acute lymphocytic leukemia (ALL),the nurse would anticipate large numbers of immature white cells,called ____________________.

Accepted Answer

blasts
Immature white cells ar

Question 7

The nurse is caring for a patient with sickle cell anemia.Which statement indicates that the patient requires further instruction?

Accepted Answer

A)  "I should not drink iced drinks." 
B)  "I miss drinking beer in the afternoon." 
C)  "I walk every day rather than doing other strenuous exercise." 
D)  "I am planning a trip to Colorado next month." 
A)  "I should not drink iced drinks." 
B)  "I miss drinking beer in the afternoon." 
C)  "I walk every day rather than doing other strenuous exercise." 
D)  "I am planning a trip to Colorado next month."

Question 8

Which factor(s)may be causative for leukemia?

Accepted Answer

A)  Radiation exposure 
B)  Pesticides exposure 
C)  Benzene exposure 
D)  Frequent bacterial infections 
E)  Virulent viral infections 
A)  Radiation exposure 
B)  Pesticides exposure 
C)  Benzene exposure 
D)  Frequent bacterial infections 
E)  Virulent viral infections

Question 9

Which medication(s)may cause aplastic anemia?

Accepted Answer

A)  Antimetabolite cancer drugs 
B)  Phenylbutazone (Butazolidin) 
C)  Oral contraception drugs 
D)  Chloramphenicol (Chloromycetin) 
E)  Sulfonamides 
A)  Antimetabolite cancer drugs 
B)  Phenylbutazone (Butazolidin) 
C)  Oral contraception drugs 
D)  Chloramphenicol (Chloromycetin) 
E)  Sulfonamides

Exam 16: Care of Patients with Hematologic Disorders

When caring for a patient with advanced multiple myeloma,the nursing staff must exercise extreme care to prevent which complication?

The student nurse is preparing to administer an iron preparation via the intramuscular (IM)route.Which action indicates the need for further instruction?

The nurse is caring for patient with iron deficiency anemia.The nurse should encourage intake of which food(s)?

The patient with acute myelogenous leukemia (AML)has a volume of blood extracted by machine,white cells are extracted in the machine,and the blood is then returned to the patient.This process is called ____________________.

The patient with acute myelogenous leukemia (AML)asks why he is making more WBCs when he already has so many.Which statement clarifies the underlying pathophysiology related to the patient's white blood cells (WBCs)?

When assessing a complete blood count (CBC)of a patient with acute lymphocytic leukemia (ALL),the nurse would anticipate large numbers of immature white cells,called ____________________.

The nurse is caring for a patient with sickle cell anemia.Which statement indicates that the patient requires further instruction?

Which factor(s)may be causative for leukemia?

Which medication(s)may cause aplastic anemia?

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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