27843442
Descripción
Test por Lexie McAlister, actualizado hace más de 1 año
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Creado por Lexie McAlister
hace casi 4 años
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Pregunta 1
Pregunta
A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patients laboratory findings to include
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a hematocrit (Hct) of 38%.
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an RBC count of 4,500,000/mL.
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normal red blood cell (RBC) indices.
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a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
Pregunta 2
Pregunta
Which menu choice indicates that the patient understands the nurses teaching about best dietary choices for iron-deficiency anemia?
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Omelet and whole wheat toast
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Cantaloupe and cottage cheese
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Strawberry and banana fruit plate
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Cornmeal muffin and orange juice
Pregunta 3
Pregunta
A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
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iron.
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folic acid.
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cobalamin (vitamin B12).
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ascorbic acid (vitamin C).
Pregunta 4
Pregunta
A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse determines that the patient understands the teaching about the disorder when the patient states, I
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need to start eating more red meat and liver.
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will stop having a glass of wine with dinner.
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could choose nasal spray rather than injections of vitamin B12.
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will need to take a proton pump inhibitor like omeprazole (Prilosec).
Pregunta 5
Pregunta
An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
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provide a diet high in vitamin K.
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alternate periods of rest and activity.
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teach the patient how to avoid injury.
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place the patient on protective isolation.
Pregunta 6
Pregunta
Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
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I will call my health care provider if my stools turn black.
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I will take a stool softener if I feel constipated occasionally.
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I should take the iron with orange juice about an hour before eating.
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I should increase my fluid and fiber intake while I am taking iron tablets.
Pregunta 7
Pregunta
Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
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Potential complication: seizures
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Potential complication: infection
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Potential complication: neurogenic shock
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Potential complication: pulmonary edema
Pregunta 8
Pregunta
The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse will plan to check the laboratory results for the
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Schilling test.
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bilirubin level.
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stool occult blood level.
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gastric analysis testing.
Pregunta 9
Pregunta
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT) when her platelet level drops to 110,000/L. Which action will the nurse include in the plan of care?
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Use low-molecular-weight heparin (LMWH) only.
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Administer the warfarin (Coumadin) at the scheduled time.
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Teach the patient about the purpose of platelet transfusions.
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Discontinue heparin and flush intermittent IV lines using normal saline.
Pregunta 10
Pregunta
A critical action by the nurse caring for a patient with an acute exacerbation of polycythemia vera is to
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place the patient on bed rest.
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administer iron supplements.
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avoid use of aspirin products.
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monitor fluid intake and output.
Pregunta 11
Pregunta
Which laboratory result will the nurse expect to show a decreased value if a patient develops heparin-induced thrombocytopenia (HIT)?
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Prothrombin time
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Erythrocyte count
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Fibrinogen degradation products
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Activated partial thromboplastin time
Pregunta 12
Pregunta
Which action will be admitting nurse include in the care plan for a 30-year-old woman who is neutropenic?
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Avoid any injections.
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Check temperature every 4 hours.
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Omit fruits or vegetables from the diet.
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Place a No Visitors sign on the door.
Pregunta 13
Pregunta
A 68-year-old woman with acute myelogenous leukemia asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?
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If you do not want to have chemotherapy, other treatment options include stem cell transplantation.
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The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy.
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The decision about treatment is one that you and the doctor need to make rather than asking what I would do.
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You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly.
Pregunta 14
Pregunta
A 54-year-old woman with acute myelogenous leukemia is considering treatment with a hematopoietic stem transplant. The best approach for the nurse to assist the patient with a treatment decision is to
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emphasize the positive outcomes of a bone marrow transplant.
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discuss the need for adequate insurance to cover post-HSCT care.
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ask the patient whether there are any questions or concerns about HSCT.
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explain that a cure is not possible with any other treatment except HSCT.
Pregunta 15
Pregunta
Which action will the nurse include in the plan of care for a 72-year-old woman with multiple myeloma?
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Monitor fluid intake and output.
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Administer calcium supplements.
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Assess lymph nodes for enlargement.
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Limit weight bearing and ambulation.
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