Exam 31: Nursing Management: Hematologic Problems

A patient is admitted to the hospital with a sickle cell crisis. While caring for the patient during the crisis, it is important for the nurse to

A patient receiving a transfusion of packed red blood cells develops chills, fever, headache, and anxiety 30 minutes after the transfusion is started. After stopping the transfusion, what is the first action that the nurse should take?

During the admission assessment of a patient with hemolytic anemia, the nurse notes jaundice of the sclerae. The nurse will plan to check the laboratory results for

A patient is hospitalized for treatment of severe hemolytic anemia. An appropriate nursing action for the patient is to

A patient with septicemia develops prolonged bleeding from venipuncture sites and blood in the stools. Which action is most important for the nurse to take?

Which nursing intervention will be included in the care plan for a patient with immune thrombocytopenic purpura (ITP)?

A patient with anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient's laboratory findings to include

A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT). Which action will the nurse include in the plan of care?

A patient with possible disseminated intravascular coagulation arrives in the emergency department with a blood pressure of 82/40, temperature 102° F ( 38.9° C ), and severe back pain. Which of these physician orders will the nurse implement first?

A 64-year-old with acute myelogenous leukemia (AML) who has induction therapy prescribed asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?

A patient is admitted to the hospital with idiopathic aplastic anemia. Which of these collaborative problems will the nurse include when developing the care plan?

Which newly admitted patient should the nurse assign as a roommate for a patient who has aplastic anemia?

Which nursing action will be included in the plan of care for a patient admitted with multiple myeloma?

Which nursing action should the nurse delegate to nursing assistive personnel ( NAP ) when administering a transfusion of packed red blood cells ( PRBCs ) to a patient with blood loss?

After the nurse has finished teaching a patient about taking oral ferrous sulfate, which patient statement indicates that additional instruction is needed?

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

Which statement by a patient with sickle cell anemia indicates good understanding of the nurse's teaching about prevention of sickle cell crisis?

Fifteen minutes after a transfusion of packed red blood cells is started, a patient complains of back pain and dyspnea. The pulse rate is 124. The nurse's first action should be to

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?