問題一覧
1
The patient is closely monitored for acute exacerbations of sickle cell disease. Which of the following phases of this disease poses a life-threatening crisis which may led to hypovolemia and shock?
Splenic sequestration
2
In assisting a client with pernicious anemia, the nurse should be alert for which of the following risk factors?
Inadequate dietary intake
3
The nurse is making care plan for client with severe thrombocytopenia should include which of the following?
Avoid intramuscular administration of medication
4
Which is the most common type of crisis in Sickle cell disease?
Vasoocclusive crisis
5
Which of the following is essential for the nurse to assess in the health history of a client with a hematologic disorder?
The client's menstrual history
6
Match the blood products that will be transfused to clients experiencing from the following conditions. Hemophilia
Whole blood
7
A patient is admitted to the hospital with hypertension and vertigo related to polycythemia vera. For which treatment should the nurse prepare the patient?
Therapeutic phlebotomy
8
Within 20 mins of the start of transfusion, the client develops a sudden fever. The most appropriate initial response by the nurse is to?
Stop the transfusion
9
In examining a child with suspected anemia, the nurse would recognize which of the following as a significant objective findings?
Cheilosis & glositis
10
Which of the following should the nurse include in the instructions provided to a client with sickle cell anemia? Select all that apply
Administer pain medication, Encourage fluid, Treat the presence of infection
11
Match the blood products that will be transfused to clients experiencing from the following conditions. Thalassemia
Packed RBC
12
Which of the following laboratory value profiles should the nurse know to be consistent with hemolytic anemia?
Decreased RBC, increased bilirubin, decreased hemoglobin & hematocrit, increased reticulocyte
13
A client with iron deficiency anemia is very pale. Has shortness of breath, and records a hemoglobin level of 7.5 grams. Which of the following is a priority for the nurse to implement?
Administer packed RBC
14
The nurse has started a transfusion of packed red blood cells. The nurse should immediately stop the transfusion when which of the following occurs?
Fever and back pain
15
Match the blood products that will be transfused to clients experiencing from the following conditions. Anemia
Packed RBC
16
A client returns to the clinic after procedure complaining of pain in the left lower back. The nurse suspects the client most likely is experiencing
A hematoma from a bone marrow biopsy and aspiration performed 2 days ago
17
The admitting nurse is making a room assignments for a client with aplastic anemia. The nurse appropriately selects which of the following room assignments for this client?
Private room, protective isolation, & hepafiltration
18
Match the blood products that will be transfused to clients experiencing from the following conditions. Thrombocytopenia
Platelet concentrate
19
Match the blood products that will be transfused to clients experiencing from the following conditions. Severe Blood loss from gunshot wound
Whole blood
20
Which of the following should the nurse include in the plan of care scheduled for a bone marrow biopsy?
Place a light gauze dressing on the insertion site
21
Which pf the following clinical manifestations would you expect in client with iron deficiency anemia?
Weakness and fatigue
22
The nurse is assisting in the development of care plan for a patient with anemia. Which nursing diagnosis is most common in a patient with anemia?
Activity intolerance r/t tissue hypoxia
23
The nurse should monitor a client with blood type A who received a transfusion from type O donor for which of the following?
A febrile reaction because of the blood type mismatch
24
Which of the following is the correct administration of IM iron dextran?
Use the z-tract method when injecting iron
25
The nurse has been teaching an adult who has iron deficiency anemia about those foods that she needs to include in her meal plans. Which of the following. If selected, would indicate to the nurse that the client understands the dietary instructions?
Citrus fruits & green leafy vegetables