Lexie McAlister
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Nursing Test sobre Hematology , creado por Lexie McAlister el 04/12/2020.

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Lexie McAlister
Creado por Lexie McAlister hace casi 4 años
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Hematology

Pregunta 1 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • a hematocrit (Hct) of 38%.

  • an RBC count of 4,500,000/mL.

  • normal red blood cell (RBC) indices.

  • a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).

Explicación

Pregunta 2 de 15

1

Which menu choice indicates that the patient understands the nurses teaching about best dietary choices for iron-deficiency anemia?

Selecciona una de las siguientes respuestas posibles:

  • Omelet and whole wheat toast

  • Cantaloupe and cottage cheese

  • Strawberry and banana fruit plate

  • Cornmeal muffin and orange juice

Explicación

Pregunta 3 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • iron.

  • folic acid.

  • cobalamin (vitamin B12).

  • ascorbic acid (vitamin C).

Explicación

Pregunta 4 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • need to start eating more red meat and liver.

  • will stop having a glass of wine with dinner.

  • could choose nasal spray rather than injections of vitamin B12.

  • will need to take a proton pump inhibitor like omeprazole (Prilosec).

Explicación

Pregunta 5 de 15

1

An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to

Selecciona una de las siguientes respuestas posibles:

  • provide a diet high in vitamin K.

  • alternate periods of rest and activity.

  • teach the patient how to avoid injury.

  • place the patient on protective isolation.

Explicación

Pregunta 6 de 15

1

Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?

Selecciona una de las siguientes respuestas posibles:

  • I will call my health care provider if my stools turn black.

  • I will take a stool softener if I feel constipated occasionally.

  • I should take the iron with orange juice about an hour before eating.

  • I should increase my fluid and fiber intake while I am taking iron tablets.

Explicación

Pregunta 7 de 15

1

Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?

Selecciona una de las siguientes respuestas posibles:

  • Potential complication: seizures

  • Potential complication: infection

  • Potential complication: neurogenic shock

  • Potential complication: pulmonary edema

Explicación

Pregunta 8 de 15

1

The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse will plan to check the laboratory results for the

Selecciona una de las siguientes respuestas posibles:

  • Schilling test.

  • bilirubin level.

  • stool occult blood level.

  • gastric analysis testing.

Explicación

Pregunta 9 de 15

1

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?

Selecciona una de las siguientes respuestas posibles:

  • Use low-molecular-weight heparin (LMWH) only.

  • Administer the warfarin (Coumadin) at the scheduled time.

  • Teach the patient about the purpose of platelet transfusions.

  • Discontinue heparin and flush intermittent IV lines using normal saline.

Explicación

Pregunta 10 de 15

1

A critical action by the nurse caring for a patient with an acute exacerbation of polycythemia vera is to

Selecciona una de las siguientes respuestas posibles:

  • place the patient on bed rest.

  • administer iron supplements.

  • avoid use of aspirin products.

  • monitor fluid intake and output.

Explicación

Pregunta 11 de 15

1

Which laboratory result will the nurse expect to show a decreased value if a patient develops heparin-induced thrombocytopenia (HIT)?

Selecciona una de las siguientes respuestas posibles:

  • Prothrombin time

  • Erythrocyte count

  • Fibrinogen degradation products

  • Activated partial thromboplastin time

Explicación

Pregunta 12 de 15

1

Which action will be admitting nurse include in the care plan for a 30-year-old woman who is neutropenic?

Selecciona una de las siguientes respuestas posibles:

  • Avoid any injections.

  • Check temperature every 4 hours.

  • Omit fruits or vegetables from the diet.

  • Place a No Visitors sign on the door.

Explicación

Pregunta 13 de 15

1

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?

Selecciona una de las siguientes respuestas posibles:

  • If you do not want to have chemotherapy, other treatment options include stem cell transplantation.

  • The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy.

  • The decision about treatment is one that you and the doctor need to make rather than asking what I would do.

  • You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly.

Explicación

Pregunta 14 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • emphasize the positive outcomes of a bone marrow transplant.

  • discuss the need for adequate insurance to cover post-HSCT care.

  • ask the patient whether there are any questions or concerns about HSCT.

  • explain that a cure is not possible with any other treatment except HSCT.

Explicación

Pregunta 15 de 15

1

Which action will the nurse include in the plan of care for a 72-year-old woman with multiple myeloma?

Selecciona una de las siguientes respuestas posibles:

  • Monitor fluid intake and output.

  • Administer calcium supplements.

  • Assess lymph nodes for enlargement.

  • Limit weight bearing and ambulation.

Explicación