Management Of Clients With Hematologic Disorders

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Question 1
Free
Multiple Choice

The nurse assessing a female client with a hemoglobin level of 11 g/dl would expect the client to report

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A

chronic fatigue and activity intolerance.

B

no significant manifestations.

C

shortness of breath, worse on exertion.

D

tachycardia and palpitations.

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Question 2
Free
Multiple Choice

While performing an admission assessment on a moderately anemic client, the nurse would expect to find a history of

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A

blurred vision.

B

cardiac palpitations.

C

increased appetite.

D

warm, flushing sensations.

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Question 3
Free
Multiple Choice

The nurse points out that nursing management of all individuals with anemia is primarily directed toward

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A

genetic counseling.

B

identifying complications.

C

managing manifestations.

D

rehabilitative measures.

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Question 4
Free
Multiple Choice

The statement about dietary iron made by a client with iron deficiency anemia that indicates understanding of the dietary concepts is "I

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A

know that dairy products are the best source of iron."

B

know that iron from animal sources is not absorbed well."

C

should be able to change my diet so that I can get sufficient iron."

D

will not be able to obtain enough iron by just increasing my dietary intake."

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Question 5
Free
Multiple Choice

The nurse would instruct an individual worried about developing iron deficiency anemia to avoid

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A

citrus fruits.

B

leafy green vegetables.

C

poultry.

D

tea.

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Question 6
Multiple Choice

A nurse providing wellness seminars plans which of the following primary prevention activities related to sickle cell disease?

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A
Have a "sick day management" tip sheet for those with SCD.
B
Offer information on genetic counseling for SSD.
C
Plan to have a list of community resources for the families of people with SCD.
D
Provide a list of day care providers willing to care for children with SCD.
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Question 7
Multiple Choice

A nurse is conducting a wellness seminar on healthy eating and prevention of iron deficiency anemia. The food the nurse would describe as being high in iron is

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A
citrus fruits.
B
grains.
C
green leafy vegetables.
D
milk products.
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Question 8
Multiple Choice

A nurse is assessing a 10-year old child with severe sickle cell disease. The mother states the child used to love school but now "won't go and won't play with any friends." The nurse notes the child is very thin with an oddly-shaped head and has significant ptosis. Which nursing diagnosis best fits this client?

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A
Altered family coping related to effects of disease on family
B
Anxiety related to fear of the unknown and social stressors
C
Readiness for Enhance Self Care related to disease and treatment
D
Social Isolation related to body image changes
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Question 9
Multiple Choice

To determine if the client has a risk factor related to iron deficiency anemia, the nurse could ask, "Has the client had a

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A
blood transfusion recently?"
B
cardiac catheterization?"
C
operation involving the stomach?"
D
pregnancy terminated within the past 6 months?"
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Question 10
Multiple Choice

The nurse explains that the medication essential for a client with pernicious anemia is

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A
ferritin.
B
ferrous gluconate.
C
vitamin B12.
D
vitamin K.
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Question 11
Multiple Choice

The nurse informs a client suspected of having pernicious anemia that the lab study that will be helpful in the diagnosis is

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A
clotting studies.
B
endoscopy.
C
hemoglobin levels.
D
Schilling test.
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Question 12
Multiple Choice

The nurse is aware that the situation that would warrant administration of iron supplements to a client with pernicious anemia is

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A
poor appetite.
B
increase in the total erythrocyte count in the peripheral circulation.
C
discrepancy between hemoglobin and erythrocyte levels.
D
paresthesia in the fingers.
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Question 13
Multiple Choice

A nurse is conducting a home safety check on a client with cobalamin/vitamin B?? deficiency. What inquiries should the nurse specifically make?

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A
Evidence of adequate lighting
B
How many stairs the client must negotiate to get inside
C
Number and location of throw rugs
D
Temperature setting on the water heater
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Question 14
Multiple Choice

The statement made by a client with pernicious anemia that would indicate to the nurse a need for further teaching is

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A
"I promise to have a checkup every 6 months."
B
"I'm glad my nervous problems will not get worse."
C
"Monthly injections are not so bad."
D
"Physical therapy will help get rid of my palpitations."
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Question 15
Multiple Choice

The nursing diagnosis that would have priority in the care of a client with agranulocytosis is

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A
alteration in bowel elimination: Constipation due to iron overload.
B
Impaired Gas Exchange due to low RBC count.
C
potential for Impaired Skin Integrity due to poor nutritional status.
D
Risk for Infection due to decreased leukocyte count.
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Question 16
Multiple Choice

A child with hemophilia requires frequent emergency infusions of antihemophilic factor replacement therapy (AHF). The mother becomes distraught during one infusion and starts crying, saying "It's all my fault my child has to suffer so!" An appropriate intervention by the nurse would be to

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A
call the social worker to come sit with the mother during the infusion.
B
explain to the mother that it was the father who gave the child hemophilia.
C
gently remind the mother that she cannot control genetics.
D
offer resources to teach the mother home AHF infusion technique.
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Question 17
Multiple Choice

A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O? saturation of 98%. The client has oxygen on at 2 liters per nasal cannula. Which intervention by the nurse would be best to meet this client's needs?

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A
Call the physician and suggest a transfusion.
B
Find another oximeter and check another saturation.
C
Increase the O2 to 6 liters per nasal cannula.
D
Prepare to intubate and mechanically ventilate the client.
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Question 18
Multiple Choice

The nurse recognizes that the laboratory finding indicative of polycythemia vera is

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A
erythrocyte count of 5 million/mm3.
B
hemoglobin level of 22 g/100 ml.
C
leukocyte count of 6000/mm3.
D
platelets of 50,000/mm3.
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Question 19
Multiple Choice

The nurse caring for a client with polycythemia vera explains the objective of phlebotomies is to decrease the hematocrit to

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A
15%.
B
25%.
C
35%.
D
45%.
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Question 20
Multiple Choice

The manifestation that would require immediate investigation in a client with infectious mononucleosis is

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A
abdominal pain.
B
joint discomfort.
C
leukocyte count of 12,000/mm3.
D
sore throat.
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