Exam 5 Ch37

25問 • 3年前

問題一覧

1. A nurse caring for a client with sickle cell disease (SCD) reviews the client’s laboratory test results. Which finding would the nurse report to the primary health care provider?

a. Creatinine: 2.9 mg/dL (256 mcmol/L)

2. The nurse is assessing a client in sickle cell disease (SCD) crisis. What priority client problem will the nurse expect?

c. Pain

3. A client in sickle cell crisis is dehydrated and in the emergency department. The nurse plans to start an IV. Which fluid choice is best?

a. 0.45% normal saline

4. A client presents to the emergency department in sickle cell disease crisis. What intervention by the nurse takes priority?

a. Administer oxygen.

5. A client hospitalized with sickle cell disease crisis frequently asks for opioid pain medications, often shortly after receiving a dose. The nurses on the unit believe that the client is drug seeking. When the client requests pain medication, what action by the nurse is best?

a. Give the client pain medication if it is time for another dose.

6. The nurse is caring for a client experiencing sickle cell disease crisis. Which priority action would help prevent infection?

d. Performing frequent handwashing

7. A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client would the nurse assess first?

b. Client who reports shortness of breath

8. The nurse is teaching a client who has pernicious anemia about necessary dietary changes. Which statement by the client indicates understanding about those changes?

a. “I’ll increase animal proteins like fish and meat.”

9. An assistive personnel is caring for a client with leukemia and asks why the client is still at risk for infection when the white blood cell count (WBC) is high. What response by the nurse is correct?

d. “Those WBCs are abnormal and don’t provide protection.”

10. The family of a neutropenic client reports that the client “is not acting right.” What action by the nurse is the priority?

b. Assess the client for infection.

11. A nurse is caring for a client who is about to receive a bone marrow transplant. To best help the client cope with the long recovery period, what action by the nurse is best?

c. Help the client find things to hope for each day of recovery.

12. A client asks about the process of graft-versus-host disease. What explanation by the nurse is correct?

d. “The donor’s cells are actually attacking the patient’s cells.”

13. The nurse is caring for a patient with leukemia who has severe fatigue. What action by the client best indicates that an important outcome to manage this problem has been met?

a. Doing activities of daily living (ADLs) using rest periods

14. A nurse is caring for a young male client with lymphoma who is to begin treatment. What teaching topic is a priority?

c. Sperm banking

15. A client has been admitted after sustaining a humerus fracture that occurred when picking up the family cat. What test result would the nurse correlate to this condition?

a. Bence-Jones protein in urine

16. A client with multiple myeloma demonstrates worsening bone density on diagnostic scans. About what drug does the nurse plan to teach this client?

d. Zoledronic acid

17. A client has a platelet count of 9000/mm3 (9 * 109/L). The nurse finds the client confused and mumbling. What nursing action takes priority at this time?

a. Call the Rapid Response Team.

18. A nurse is preparing to administer a blood transfusion. What action is most important?

b. Ensure that informed consent is obtained.

19. A nurse is preparing to administer a blood transfusion. Which action is most important?

d. Put on a pair of gloves.

20. A client receiving a blood transfusion develops anxiety and low back pain. After stopping the transfusion, what action by the nurse is most important?

b. Double-check the client and blood product identification.

21. A client has thrombocytopenia. What statement indicates that the client understands self-management of this condition?

c. “I usually put ice on bumps or bruises.”

22. A nurse is caring for four clients with leukemia. After hand-off report, which client would the nurse assess first?

a. Client who had two bloody diarrhea stools this morning.

23. Which statement by a client with leukemia indicates a need for further teaching by the nurse?

d. “I will take a daily laxative to prevent constipation.”

24. The nurse is assessing a client who has probable lymphoma. What is the most common early assessment finding for clients with this disorder?

b. Enlarged painless lymph node(s)

25. The nurse assesses a client’s oral cavity as seen in the photo below: What action by the nurse is most appropriate? Refer to picture.

d. Teach the client about cobalamin therapy.

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4