Exam 75: Management of Clients with Hematologic Disorders

A child with hemophilia requires frequent emergency infusions of antihemophilic factor replacement therapy (AHF). The mother becomes distraught during one infusion and starts crying, saying "It's all my fault my child has to suffer so!" An appropriate intervention by the nurse would be to

A nurse is assessing a 10-year old child with severe sickle cell disease. The mother states the child used to love school but now "won't go and won't play with any friends." The nurse notes the child is very thin with an oddly-shaped head and has significant ptosis. Which nursing diagnosis best fits this client?

To determine if the client has a risk factor related to iron deficiency anemia, the nurse could ask, "Has the client had a

A client has been newly diagnosed with multiple myeloma and is going to be followed up with frequent, close monitoring. The client states "I'm glad at least that this disease is not so bad. I was really worried they'd find something really wrong." What response by the nurse is most appropriate?

When teaching a client who has multiple myeloma about self-care in the home, the nurse should advise the client and family take appropriate precautions to

The nurse assessing a female client with a hemoglobin level of 11 g/dl would expect the client to report

An important self-care measure the nurse teaches a client who has sickle cell disease is to

The nurse planning care of a client with multiple myeloma includes the intervention of

The nurse informs a client suspected of having pernicious anemia that the lab study that will be helpful in the diagnosis is

A client who has hemophilia A and his wife, who is not a carrier of the disease, wish to start a family. In discussing the risk factors of transmitting hemophilia to his children, it is important to explain that

While performing an admission assessment on a moderately anemic client, the nurse would expect to find a history of

The nurse is aware that the situation that would warrant administration of iron supplements to a client with pernicious anemia is

A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O₂ saturation of 98%. The client has oxygen on at 2 liters per nasal cannula. Which intervention by the nurse would be best to meet this client's needs?

The statement about dietary iron made by a client with iron deficiency anemia that indicates understanding of the dietary concepts is "I

The nurse caring for a client with polycythemia vera explains the objective of phlebotomies is to decrease the hematocrit to

A client is recovering from mononucleosis but is upset that 12 weeks after diagnosis she is still too weak to resume normal household and work chores. The client states that the spouse and children are getting very tired of "doing everything" while the client "just sits around." The most appropriate response by the nurse is to tell the client

The nurse points out that nursing management of all individuals with anemia is primarily directed toward

The nurse can decrease the danger of transfusion reactions in a client by