Exam 28: Nursing Care of Patients With Hematologic and Lymphatic Disorders

A patient walks into the urgent care clinic,stating that he has hemophilia and that he is bleeding.The triage nurse does a quick assessment and sees no signs of active bleeding.Several patients are already in the waiting area.Which action by the nurse is most appropriate?

The nurse is caring for a patient in sickle cell crisis.What is the rationale for providing warm compresses and blankets for this patient?

A patient is diagnosed with anemia and asks the nurse what nutrients are important for RBC formation.The nurse bases an answer on the understanding that which nutrients are essential for production of healthy red cells?

A patient who has had a splenectomy complains of malaise.The nurse checks the patient's temperature and finds it is 102°F (39°C).Which action by the nurse should take priority?

A patient is being tested for possible leukemia.With which diagnostic test should the nurse anticipate assisting?

The nurse is collaborating on discharge teaching needed for a patient recovering from a splenectomy.What follow-up care is most important for the nurse to emphasize with this patient?

The nurse is identifying approaches to reduce the risk of infection in a patient with leukemia.Why is it important for the nurse to institute infection control measures for this patient?

A patient with multiple myeloma is at risk for hypercalcemia.Which nursing intervention is most important for the patient with hypercalcemia?

A patient with terminal lymphoma says to the nurse,"I'm tired of being so fatigued all the time.Can't you just give me a big shot of morphine and help me end this suffering?" Which response by the nurse is most appropriate?

The nurse is preparing to provide care to a patient recovering from surgery.What nursing action is the best way to prevent infection in a postoperative patient?

A patient with hemophilia A is bleeding.Which treatment should the nurse anticipate being prescribed for this patient?

The nurse is caring for a patient with a clotting disorder.Which blood product should the nurse anticipate being prescribed?

The nurse is caring for a patient scheduled for tests to confirm the diagnosis of lymphoma.For which diagnostic tests should the nurse prepare the patient? (Select all that apply.)

The nurse is providing education to an individual with sickle cell anemia.Which activities should the nurse instruct the patient to avoid? (Select all that apply.)

The nurse is preparing to give an injection of iron (Imferon)to a patient with anemia.What is the rationale for using the Z-track method for injection?

A patient with lymphoma wants to attend a family member's wedding but is extremely fatigued.The nurse develops a plan for Activity Intolerance related to symptoms of lymphoma.How will the nurse know if the plan has been effective?

A patient with thrombocytopenia is having pain.If each of the following medications is ordered,which should the nurse choose to administer?

The nurse is caring for a patient with anemia.Which blood component is deficient in this patient?

A patient with Hodgkin's disease has cervical lymph node enlargement.Which symptom should the nurse attend to first?

The nurse is assessing a patient with stage III Hodgkin's disease.Where should the nurse expect to find enlarged lymph nodes?