Exam 27: Nursing Management: Haematological Problems

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?

Which action will the admitting nurse include in the care plan for a 30-year old woman who is neutropenic?

When a patient with splenomegaly is scheduled for splenectomy,which action will the nurse include in the preoperative plan of care?

Which problem reported by a patient with hemophilia is most important for the nurse to communicate to the physician?

A 62-year old man with chronic 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 non-Hodgkin's lymphoma is receiving combination treatment with rituximab (Rituxan)and chemotherapy.Which patient assessment finding requires the most rapid action by the 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?

A postoperative patient receiving a transfusion of packed red blood cells develops chills,fever,headache,and anxiety 35 minutes after the transfusion is started.After stopping the transfusion,what action should the nurse take?

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

Following successful treatment of Hodgkin's lymphoma for a 55-year-old woman,which topic will the nurse include in patient teaching?

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

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 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 information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal)for a patient with hemochromatosis?

The nurse caring for a patient with type A hemophilia being admitted to the hospital with severe pain and swelling in the right knee will

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

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?

It is important for the nurse providing care for a patient with sickle cell crisis to