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

The nurse is teaching a patient with sickle cell anemia how to prevent crises.Which foods should the nurse teach the patient to avoid?

A patient with aplastic anemia is to receive an injection of erythropoietin (Epogen).The patient asks what the injection is intended to do.Which should the nurse respond to the patient?

The recommended dose of filgrastim (Neupogen)is 10 mcg/kg/day.It is supplied as 300 mcg/mL.A patient who weighs 132 lb should receive ____________________ mL.

A patient is admitted to the hospital with hypertension and vertigo related to polycythemia vera (PV).For which treatment should the nurse prepare the patient?

The nurse is planning discharge teaching for a patient with polycythemia.Which nursing intervention should the nurse consider to help prevent complications in this patient?

A patient with multiple myeloma is being cared for at home.Which nursing diagnosis should guide the nurse when teaching the family how to provide care for the patient?

The nurse is preparing teaching materials for a patient with PV.How many liters of fluid should the nurse instruct the patient to consume each day?

The nurse is assessing a patient with a bleeding disorder and finds large purplish areas in the skin and oral mucosa.Which term should the nurse use to document this finding?

A comatose patient is admitted to the emergency department after an automobile accident.The nurse notes a Medic-Alert identification bracelet that states the patient has hemophilia.What should the nurse do first?

A patient receiving chemotherapy for chronic myelocytic leukemia has irritated mucous membranes.Which mouth care intervention should the nurse include in the plan of care?

The nurse is caring for a patient with thrombocytopenia.Which activity should be avoided?

A nurse is assisting with data collection on a newly admitted patient with a history of hemophilia.Which assessment finding indicates that the patient has experienced some severe episodes of bleeding in the past?

The nurse is collecting information about sickle cell disease for an upcoming seminar.What should the nurse include as common triggers for a sickle cell crisis? (Select all that apply.)

A patient with anemia and a nursing diagnosis of activity intolerance due to tissue hypoxia and dyspnea is attempting to increase activity tolerance.What percentage of increase in pulse and respiratory rate should the nurse use to determine if the activity is too strenuous for the patient?

The nurse is emptying the bedside commode of a patient with chronic leukemia and notes that the stool is very dark.Which assumption should guide the nurse's action?

During a home visit,the nurse becomes concerned that a patient recovering from a splenectomy is at risk for infection.What did the nurse observe to come to this conclusion? (Select all that apply.)

The nurse is assisting in the development of a care plan for a patient with anemia.Which nursing diagnosis is most common in a patient with anemia?

A patient is diagnosed with a folic acid deficiency.On what dietary changes should the nurse instruct this patient? (Select all that apply.)