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

The nurse is reviewing laboratory results for a patient with a blood disorder.Reduced fibrinogen and platelet levels,increased thrombin time,and reduced factor assays are laboratory results associated with which hematological disorders?

A patient with iron-deficiency anemia has been taking oral iron supplements.Which test should the nurse review to determine the effectiveness of this intervention?

The nurse is reviewing the care plan for a patient with disseminated intravascular coagulation.Which nursing intervention is most likely to cause an acute complication in this patient?

A patient is planning to have an allogeneic bone marrow transplant.What will the patient most likely have completed before this transplant occurs? (Select all that apply.)

The nurse is preparing teaching for a patient with Hodgkin's disease.Which beverage should the nurse instruct this patient to avoid?

The nurse is caring for a patient with PV.Which laboratory study should the nurse monitor to help evaluate the effectiveness of treatment for this patient?

The nurse is providing dietary teaching to an individual with iron-deficiency anemia.Which patient statement indicates that teaching has been effective?

A patient is being prepared for splenectomy.What is the purpose of the order for a vitamin K injection?

The daughter of a male patient with hemophilia is concerned about transmitting the genetic disorder to any future children.What percentage of chance of transmitting the gene to future children should the nurse instruct the daughter?

The nurse is reviewing the current patient census on a care area.Which individual is most likely to present with signs or symptoms of sickle cell anemia?

The nurse suspects a patient is experiencing manifestations of Hodgkin's disease.Which are characteristics of this health disorder? (Select all that apply.)

A patient has a platelet count of 20,000/mm³.What action should the nurse take?

The nurse is caring for a patient with a bleeding disorder.Which manifestation might first alert the nurse to the possibility of disseminated intravascular coagulation?

The nurse suspects a patient has polycythemia.Which hematocrit value is causing the nurse to have this concern?

A patient is admitted in sickle cell crisis with symptoms of dyspnea and leg pain.The patient's significant other asks,"I don't really understand why he is hurting so badly." Which response by the nurse is best?

The nurse is caring for a patient with a bleeding disorder.Which medication order should the nurse question?

The nurse is determining the effectiveness of treatment prescribed for a patient with anemia.Which question should the nurse use to make this evaluation?

During a home visit,the nurse becomes concerned that a child is developing idiopathic thrombocytopenic purpura (ITP).Which health problems could have precipitated the development of this disorder in the child? (Select all that apply.)

A 54-year-old patient is admitted to the hospital in the final stage of chronic lymphocytic leukemia (CLL).Which manifestations of CLL should the nurse expect to find while collecting admission data?

The nurse is providing care for a patient who has had a splenectomy.Which nursing action has the highest priority?