Exam 33: Nursing Management Hematological Problems

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

When a febrile episode occurs in a client with neutropenia, at what time should antibiotic therapy be initiated?

The hemophilia clinic nurse receives a call from a client with hemophilia to discuss all of these problems. Which of the following problems is most important to communicate to the health care provider?

The nurse is caring for a client with a sickle cell crisis. While caring for the client during the crisis, which of the following actions is priority?

The nurse is admitting a client with hemolytic anemia and notes jaundice of the sclerae. Which of the following laboratory results should the nurse assess?

Which of the following newly admitted clients should the nurse assign as a roommate for a client who has aplastic anemia?

All of these clients call the outpatient clinic and ask to make an appointment as soon as possible. Which of the following clients should the nurse schedule to be seen first?

The nurse is admitting a client with type A hemophilia who has severe pain and swelling in the right knee. Which of the following actions should the nurse implement initially?

The nurse is caring for a client with acute myelogenous leukemia (AML) who has induction therapy prescribed and the client asks the nurse whether the planned chemotherapy will be worth undergoing. Which of the following responses by the nurse is best?

Which of the following laboratory information should the nurse monitor to detect heparin-induced thrombo-cytopenia (HIT) in a client who is receiving a continuous heparin infusion?

The nurse is caring for a client with neutropenia who is started on a cephalosporin. Which of the following common adverse effects should the nurse observe for in the client? (Select all that apply.)

The nurse is caring for a client with idiopathic aplastic anemia. Which of the following collaborative problems should the nurse include when developing the care plan?

Which of the following assessment data obtained by the nurse when caring for a client with thrombo-cytopenia should be immediately communicated to the health care provider?

Which of the following menu choices indicate that the client understands the nurse's teaching about best dietary choices for iron-deficiency anemia?

The nurse is caring for a client with immune thrombo-cytopenic purpura (ITP) who has a prescription for a platelet transfusion. Which of the following client information indicates that the nurse should consult with the health care provider before administering platelets?

The nurse is caring for a client receiving a transfusion of packed red blood cells who develops chills, fever, headache, and anxiety 30 minutes after the transfusion is started. After stopping the transfusion, which of the following actions is priority?

The nurse has finished teaching a client about taking oral ferrous sulphate. Which of the following client statements indicates that additional instruction is needed?

The nurse is caring for a client who is hospitalized for treatment of severe hemolytic anemia. Which of the following actions should the nurse implement?

The nurse is caring for a client with acute myelogenous leukemia who is receiving outpatient chemotherapy and develops an absolute neutrophil count of 0.9 * 10⁹/L. Which of the following actions by the nurse in the outpatient clinic is best?

The nurse is teaching a client with a new diagnosis of pernicious anemia about the disorder. Which of the following client statements indicates that the teaching has been effective?