Exam 31: Nursing Management: Hematologic Problems

A 54-year-old woman with acute myelogenous leukemia (AML)is considering treatment with a hematopoietic stem cell transplant (HSCT).The best approach for the nurse to assist the patient with a treatment decision is to

Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?

A 68-year-old woman with acute myelogenous leukemia (AML)asks the nurse whether the planned chemotherapy will be worth undergoing.Which response by the nurse is appropriate?

The nurse has obtained the health history,physical assessment data,and laboratory results shown in the accompanying figure for a patient admitted with aplastic anemia.Which information is most important to communicate to the health care provider?

An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to

Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

Which menu choice indicates that the patient understands the nurse's teaching about best dietary choices for iron-deficiency anemia?

A 19-year-old woman with immune thrombocytopenic purpura (ITP)has an order for a platelet transfusion.Which information indicates that the nurse should consult with the health care provider before obtaining and administering platelets?

A 28-year-old man with von Willebrand disease is admitted to the hospital for minor knee surgery.The nurse will review the coagulation survey to check the

After receiving change-of-shift report for several patients with neutropenia,which patient should the nurse assess first?

Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?

The nurse is planning to administer a transfusion of packed red blood cells (PRBCs)to a patient with blood loss from gastrointestinal hemorrhage.Which action can the nurse delegate to unlicensed assistive personnel (UAP)?

Which patient requires the most rapid assessment and care by the emergency department nurse?

A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled: 1 mL equals 10 drops.How many drops per minute will the nurse infuse?

Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?

A 30-year-old man with acute myelogenous leukemia develops an absolute neutrophil count of 850/µL while receiving outpatient chemotherapy.Which action by the outpatient clinic nurse is most appropriate?

A routine complete blood count indicates that an active 80-year-old man may have myelodysplastic syndrome.The nurse will plan to teach the patient about

Which laboratory test will the nurse use to determine whether filgrastim (Neupogen)is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?

A patient with a history of a transfusion-related acute lung injury (TRALI)is to receive a transfusion of packed red blood cells (PRBCs).Which action by the nurse will decrease the risk for TRALI for this patient?

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?