Question 1

While obtaining a health history from a patient with numerous petechiae on the skin, the nurse asks the patient specifically about the patient's use of

Accepted Answer

A)  anticonvulsants. 
B)  oral contraceptives. 
C)  aspirin medications. 
D)  antihypertensives. 
A)  anticonvulsants. 
B)  oral contraceptives. 
C)  aspirin medications. 
D)  antihypertensives. C

Question 2

The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about

Accepted Answer

A)  WBC 3500/ml. 
B)  hemoglobin 11.8 g/dl. 
C)  platelets 400,000/ml. 
D)  hematocrit 37%. 
A)  WBC 3500/ml. 
B)  hemoglobin 11.8 g/dl. 
C)  platelets 400,000/ml. 
D)  hematocrit 37%. A

Question 3

While examining the lymph nodes during physical assessment, the nurse would be most concerned about

Accepted Answer

A)  firm inguinal nodes in a patient with an infected foot. 
B)  inability to palpate any superficial lymph nodes. 
C)  1-cm mobile and nontender axillary node. 
D)  2-cm nonpainful supraclavicular node. 
A)  firm inguinal nodes in a patient with an infected foot. 
B)  inability to palpate any superficial lymph nodes. 
C)  1-cm mobile and nontender axillary node. 
D)  2-cm nonpainful supraclavicular node. D

Question 4

A confused patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests. The nurse should contact the patient's family member to sign a consent form before the

Accepted Answer

A)  complete blood count (CB
C) . 
B)  abdominal ultrasound. 
C)  ABO blood typing. 
D)  bone marrow biopsy. 
A)  complete blood count (CB
C) . 
B)  abdominal ultrasound. 
C)  ABO blood typing. 
D)  bone marrow biopsy.

Question 5

The history and physical for a newly admitted patient states that the CBC shows a "shift to the left." The nurse will plan to monitor the patient for

Accepted Answer

A)  elevated temperature. 
B)  low oxygen saturation. 
C)  pallor and weakness. 
D)  cool extremities. 
A)  elevated temperature. 
B)  low oxygen saturation. 
C)  pallor and weakness. 
D)  cool extremities.

Question 6

During physical assessment of a patient, the nurse suspects a chronic, severe iron-deficiency anemia on finding

Accepted Answer

A)  yellow-tinged sclerae. 
B)  gum bleeding and tenderness. 
C)  shiny, smooth tongue. 
D)  numbness of the extremities. 
A)  yellow-tinged sclerae. 
B)  gum bleeding and tenderness. 
C)  shiny, smooth tongue. 
D)  numbness of the extremities.

Question 7

A patient is found to have leukopenia, anemia, and thrombocytopenia. During the health history, the nurse asks about the patient's possible exposure to toxic agents when assessing the patient's

Accepted Answer

A)  self-perception-self-concept pattern. 
B)  role-relationship pattern. 
C)  sexuality-reproductive pattern. 
D)  health promotion-health management pattern. 
A)  self-perception-self-concept pattern. 
B)  role-relationship pattern. 
C)  sexuality-reproductive pattern. 
D)  health promotion-health management pattern.

Question 8

When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular volume (MCV) indicates

Accepted Answer

A)  small size of the red blood cells (RBCs). 
B)  inadequate numbers of RBCs. 
C)  low hemoglobin in the RBCs. 
D)  hypochromic RBCs. 
A)  small size of the red blood cells (RBCs). 
B)  inadequate numbers of RBCs. 
C)  low hemoglobin in the RBCs. 
D)  hypochromic RBCs.

Question 9

When reviewing the CBC for a patient admitted with an elevated temperature and flank pain, which information will be most important for the nurse to communicate to the health care provider?

Accepted Answer

A)  Neutrophils 85% 
B)  Hemoglobin 11.6 g/dl 
C)  Monocytes 4% 
D)  Platelets 145,000/ml 
A)  Neutrophils 85% 
B)  Hemoglobin 11.6 g/dl 
C)  Monocytes 4% 
D)  Platelets 145,000/ml

Question 10

The health care provider performs a bone marrow aspiration from the posterior iliac crest on a patient with pancytopenia. Following the procedure, the nurse should

Accepted Answer

A)  use half-inch sterile gauze to pack the wound. 
B)  administer an analgesic to control pain at the site. 
C)  apply pressure over the site for 5 to 10 minutes. 
D)  elevate the head of the bed to 30 degrees. 
A)  use half-inch sterile gauze to pack the wound. 
B)  administer an analgesic to control pain at the site. 
C)  apply pressure over the site for 5 to 10 minutes. 
D)  elevate the head of the bed to 30 degrees.

Question 11

Following a motor-vehicle accident, a patient is scheduled for an ultrasound of the spleen. Which patient education will be included in the teaching plan?

Accepted Answer

A)  "You will need to avoid eating or drinking anything for 6 hours before the exam." 
B)  "An intravenous line will be started to administer fluids and medications during the exam." 
C)  "A lubricated probe will be moved across your abdomen to check for any spleen injuries." 
D)  "Iodine-based solution will be injected to help visualize the borders of your spleen." 
A)  "You will need to avoid eating or drinking anything for 6 hours before the exam." 
B)  "An intravenous line will be started to administer fluids and medications during the exam." 
C)  "A lubricated probe will be moved across your abdomen to check for any spleen injuries." 
D)  "Iodine-based solution will be injected to help visualize the borders of your spleen."

Question 12

When caring for a patient who is receiving heparin, the nurse will monitor

Accepted Answer

A)  thrombin time. 
B)  normalized ratio (INR). 
C)  fibrin split products. 
D)  partial thromboplastin time (PTT). 
A)  thrombin time. 
B)  normalized ratio (INR). 
C)  fibrin split products. 
D)  partial thromboplastin time (PTT).

Question 13

In the patient who has had an intraoperative hemorrhage, the nurse would expect to find hematology results of

Accepted Answer

A)  hematocrit of 45%. 
B)  elevated reticulocyte count. 
C)  decreased WBC count. 
D)  hemoglobin 13.2 g/dl. 
A)  hematocrit of 45%. 
B)  elevated reticulocyte count. 
C)  decreased WBC count. 
D)  hemoglobin 13.2 g/dl.

Question 14

A patient has had a splenectomy to control bleeding from a lacerated spleen following an automobile accident. The nurse will teach the patient about the increased risk for

Accepted Answer

A)  lymphedema. 
B)  infection. 
C)  prolonged bleeding. 
D)  chronic anemia. 
A)  lymphedema. 
B)  infection. 
C)  prolonged bleeding. 
D)  chronic anemia.

Question 15

The nurse will document information about the individual's intake of alcohol in the

Accepted Answer

A)  health-perception-health management pattern. 
B)  nutritional-metabolic pattern. 
C)  self-perception-self-concept pattern. 
D)  role-relationship pattern. 
A)  health-perception-health management pattern. 
B)  nutritional-metabolic pattern. 
C)  self-perception-self-concept pattern. 
D)  role-relationship pattern.

Exam 30: Nursing Assessment: Hematologic System

While obtaining a health history from a patient with numerous petechiae on the skin, the nurse asks the patient specifically about the patient's use of

The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about

While examining the lymph nodes during physical assessment, the nurse would be most concerned about

A confused patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests. The nurse should contact the patient's family member to sign a consent form before the

The history and physical for a newly admitted patient states that the CBC shows a "shift to the left." The nurse will plan to monitor the patient for

During physical assessment of a patient, the nurse suspects a chronic, severe iron-deficiency anemia on finding

A patient is found to have leukopenia, anemia, and thrombocytopenia. During the health history, the nurse asks about the patient's possible exposure to toxic agents when assessing the patient's

When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular volume (MCV) indicates

When reviewing the CBC for a patient admitted with an elevated temperature and flank pain, which information will be most important for the nurse to communicate to the health care provider?

The health care provider performs a bone marrow aspiration from the posterior iliac crest on a patient with pancytopenia. Following the procedure, the nurse should

Following a motor-vehicle accident, a patient is scheduled for an ultrasound of the spleen. Which patient education will be included in the teaching plan?

When caring for a patient who is receiving heparin, the nurse will monitor

In the patient who has had an intraoperative hemorrhage, the nurse would expect to find hematology results of

A patient has had a splenectomy to control bleeding from a lacerated spleen following an automobile accident. The nurse will teach the patient about the increased risk for

The nurse will document information about the individual's intake of alcohol in the

Nursing Practice Today

Health Disparities

Culturally Competent Care

Health History and Physical Examination

Patient and Family Teaching

Older Adults

Community-Based Nursing and Home Care

Complementary and Alternative Therapies

Stress and Stress Management

Pain

End Of Life and Palliative Care

Addictive Behaviors

Inflammation and Wound Healing

Genetics, Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver, Pancreas, and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Renal Failure and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Diseases

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimers Disease and Dementia

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases