Exam 27: Nursing Management: Haematological Problems

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

An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/µL during chemotherapy is to

Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

Which information obtained by the nurse caring for a patient with thrombocytopenia should be immediately communicated to the health care provider?

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

Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?

A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia.The nurse will anticipate teaching the patient about increasing oral intake of

A critical action by the nurse caring for a patient with an acute exacerbation of polycythemia vera is to

Several patients call the outpatient clinic and ask to make an appointment as soon as possible.Which patient should the nurse schedule to be seen first?

Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?

A patient in the emergency department complains of back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started.The nurse's first action should be to

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 physician order will the nurse implement first?

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

Which action for a patient with neutropenia is appropriate for the registered nurse (RN)to delegate to a licensed practical/vocational nurse (LPN/LVN)?

A 68-year-old woman with acute myelogenous leukemia (AML)asks the nurse whether the planned chemotherapy will be worth undergoing.Which response by the nurse is appropriate?

A patient with a history of a transfusion-related acute lung injury (TRALI)is to receive a transfusion of packed red blood cells (PRBCs).Which action by the nurse will decrease the risk for TRALI for this patient?

Which laboratory test will the nurse use to determine whether filgrastim (Neupogen)is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?

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

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?