Exam 31: Nursing Management: Hematologic Problems

A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia and thrombosis syndrome (HITTS). The nurse will anticipate a health care provider order to

A patient has a folic acid deficiency related to chronic alcohol abuse. The nurse would expect a complete blood cell count (CBC) to reveal

A patient with non-Hodgkin's lymphoma develops a platelet count of 10,000/ml during chemotherapy. An appropriate nursing intervention for the patient, based on this finding, is to

Which of these nursing actions included in the care plan for a patient with neutropenia is appropriate for the RN to delegate to an LPN/LVN who is assisting with patient care?

A patient receiving chemotherapy for acute lymphocytic leukemia has pancytopenia, and filgrastim (Neupogen) is prescribed. The nurse teaches the patient that the reason for the use of the medication is

A patient with myelodysplastic syndrome (MDS) is receiving chemotherapy. Which of these laboratory values will be of most concern to the nurse?

All of the following patients are waiting to be admitted by the emergency department nurse. Which one requires the most rapid assessment and care by the nurse?

During care of the patient with multiple myeloma, an important nursing intervention is

A patient who is having a sickle cell crisis asks the nurse why the sickling causes such pain. The nurse explains that the pain of sickling is caused by

A patient with type A hemophilia has been admitted to the hospital with severe pain and swelling in the right knee. During the initial care of the patient, the nurse should

A 26-year-old patient with stage II Hodgkin's lymphoma asks the nurse, "How long do I have to live?" The nurse's best response to the patient is

A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the patient about pernicious anemia, the nurse determines that the patient understands the disorder when the patient states,

The health care provider orders transfusion with packed RBCs for a patient who is hospitalized with severe anemia. The most important action by the nurse to prevent a transfusion reaction when administering the blood is to

During treatment of the patient who has sepsis-induced DIC with moderate bleeding, the nurse will expect that the initial collaborative care will focus on

When planning discharge teaching for the patient who was admitted with a sickle cell crisis, which information will the nurse include?

A patient's family member asks the nurse what caused the patient to develop disseminated intravascular coagulation (DIC). The nurse tells the family member that DIC

A patient admitted to the hospital in preparation for a splenectomy for treatment of immune thrombocytopenia purpura (ITP) asks the nurse about the benefits of the splenectomy. The nurse explains that the expected effect of the splenectomy is

A 64-year-old patient with newly diagnosed acute myelogenous leukemia (AML) who is undergoing induction therapy with chemotherapeutic agents tells the nurse, "I feel so sick that I don't know if the treatment is worth completing." The nurse's best response to the patient is

A patient recently diagnosed with Hodgkin's lymphoma undergoes extensive testing for staging of the disease and decisions regarding treatment. The nurse will plan to teach the patient about (Select all that apply.)