Lexie McAlister
Quiz por , criado more than 1 year ago

Nursing Quiz sobre Hematology , criado por Lexie McAlister em 04-12-2020.

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Lexie McAlister
Criado por Lexie McAlister quase 4 anos atrás
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Hematology

Questão 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

Selecione uma das seguintes:

  • 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).

Explicação

Questão 2 de 15

1

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

Selecione uma das seguintes:

  • Omelet and whole wheat toast

  • Cantaloupe and cottage cheese

  • Strawberry and banana fruit plate

  • Cornmeal muffin and orange juice

Explicação

Questão 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

Selecione uma das seguintes:

  • iron.

  • folic acid.

  • cobalamin (vitamin B12).

  • ascorbic acid (vitamin C).

Explicação

Questão 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

Selecione uma das seguintes:

  • 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).

Explicação

Questão 5 de 15

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 6 de 15

1

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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 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?

Selecione uma das seguintes:

  • Potential complication: seizures

  • Potential complication: infection

  • Potential complication: neurogenic shock

  • Potential complication: pulmonary edema

Explicação

Questão 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

Selecione uma das seguintes:

  • Schilling test.

  • bilirubin level.

  • stool occult blood level.

  • gastric analysis testing.

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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.

Explicação

Questão 10 de 15

1

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

Selecione uma das seguintes:

  • place the patient on bed rest.

  • administer iron supplements.

  • avoid use of aspirin products.

  • monitor fluid intake and output.

Explicação

Questão 11 de 15

1

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

Selecione uma das seguintes:

  • Prothrombin time

  • Erythrocyte count

  • Fibrinogen degradation products

  • Activated partial thromboplastin time

Explicação

Questão 12 de 15

1

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

Selecione uma das seguintes:

  • Avoid any injections.

  • Check temperature every 4 hours.

  • Omit fruits or vegetables from the diet.

  • Place a No Visitors sign on the door.

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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.

Explicação

Questão 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

Selecione uma das seguintes:

  • 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.

Explicação

Questão 15 de 15

1

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

Selecione uma das seguintes:

  • Monitor fluid intake and output.

  • Administer calcium supplements.

  • Assess lymph nodes for enlargement.

  • Limit weight bearing and ambulation.

Explicação