Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical NursingPractice Set 37
NursingSurgical NursingMedical Surgical NursingPractice Set 37Nursing Assessment Hematological System
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- Introduction to Medical-Surgical Nursing Practice in CanadaCultural Competence and Health Equity in Nursing CareHealth History and Physical ExaminationPatient and Caregiver TeachingChronic IllnessCommunity-Based Nursing and Home CareOlder AdultsStress and Stress ManagementSleep and Sleep DisordersPainSubstance UseComplementary and Alternative TherapiesPalliative Care at the End of LifeInflammation and Wound HealingGeneticsAltered Immune Response and TransplantationInfection and Human Immunodeficiency Virus InfectionCancerFluidNursing Management Preoperative CareNursing Management Intraoperative CareNursing Management Postoperative CareNursing Assessment Visual and Auditory SystemsNursing Management Visual and Auditory ProblemsNursing Assessment Integumentary SystemNursing Management Integumentary ProblemsNursing Management BurnsNursing Assessment Respiratory SystemNursing Management Upper Respiratory ProblemsNursing Management Lower Respiratory ProblemsNursing Management Obstructive Pulmonary DiseasesNursing Assessment Hematological SystemNursing Management Hematological ProblemsNursing Assessment Cardiovascular SystemNursing Management HypertensionNursing Management Coronary Artery Disease and Acute Coronary SyndromeNursing Management Heart FailureNursing Management DysrhythmiasNursing Management Inflammatory and Structural Heart DisordersNursing Management Vascular DisordersNursing Assessment Gastro-intestinal SystemNursing Management Nutritional ProblemsNursing Management ObesityNursing Management Upper Gastro-intestinal ProblemsNursing Management Lower Gastro-intestinal ProblemsNursing Management LiverNursing Assessment Urinary SystemNursing Management Renal and Urologic ProblemsNursing Management Acute Kidney Injury and Chronic Kidney DiseaseNursing Assessment Endocrine SystemNursing Management Endocrine ProblemsNursing Management Diabetes MellitusNursing Assessment Reproductive SystemNursing Management Breast DisordersNursing Management Sexually Transmitted InfectionsNursing Management Female Reproductive ProblemsNursing Management Male Reproductive ProblemsNursing Assessment Nervous SystemNursing Management Acute Intracranial ProblemsNursing Management StrokeNursing Management Chronic Neurological ProblemsNursing Management DeliriumNursing Management Peripheral Nerve and Spinal Cord ProblemsNursing Assessment Musculo-skeletal SystemNursing Management Musculo-skeletal Trauma and Orthopedic SurgeryNursing Management Musculo-skeletal ProblemsNursing Management Arthritis and Connective Tissue DiseasesNursing Management Critical Care EnvironmentNursing Management ShockNursing Management Respiratory Failure and Acute Respiratory Distress SyndromeNursing Management Emergency Care SituationsEmergency Management and Disaster Planning
Question 1
Free
Multiple Choice
The nurse is providing discharge teaching to a client who has had an emergency splenectomy following an automobile accident. Which of the following events should the nurse inform the client that they are at an increased risk of developing?
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Infection
Lymphedema
Chronic anemia
Prolonged bleeding
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Question 2
Free
Multiple Choice
The nurse is obtaining a health history from a client and notes numerous petechiae. Which of the following assessments should the nurse anticipate?
Choose correct answer/s
Bruising on the skin
Pinpoint purplish-red lesions
Small focal red lesions
Brown spots on mucous membranes
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Question 3
Free
Multiple Choice
The health care provider performs a bone marrow aspiration from the left posterior iliac crest on a client with pancytopenia. Which of the following actions should the nurse implement following the procedure?
Choose correct answer/s
Elevate the head of the bed to 45 degrees.
Apply a sterile Band-Aid at the aspiration site.
Use half-inch sterile gauze to pack the wound.
Apply a pressure dressing on the aspiration site.
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Question 4
Free
Multiple Choice
The nurse is caring for a client with a chronic iron-deficiency anemia. Which of the following assessment findings should the nurse anticipate?
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Yellow-tinged sclerae
Shiny, smooth tongue
Numbness of the extremities
Gum bleeding and tenderness
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Question 5
Free
Multiple Choice
Aclient's complete blood count shows a hemoglobin of 200 g/L and a hematocrit of 54%. Which of the following questions should the nurse ask to determine possible causes of this finding?
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"Has there been any recent weight loss?"
"Do you have any problems with your vision?"
"What is your intake of fruits and vegetables?"
"Have you noticed any dark or bloody stools?"
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Question 6
Multiple Choice
The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should the nurse monitor?
Choose correct answer/s
Prothrombin time (PT)
Fibrin degradation products (FDP)
International normalized ratio (INR)
Activated partial thromboplastin time (aPTT)
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Question 7
Multiple Choice
The nurse is evaluating the red cell indices result of a client's laboratory report. Which of the following interpretations is correct related to a low mean corpuscular volume (MCV)?
Choose correct answer/s
Hypochromic red blood cells (RBCs)
Inadequate numbers of RBCs
Low hemoglobin in the RBCs
Small size of the RBCs
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Question 8
Multiple Choice
While examining the lymph nodes during physical assessment, the nurse would be most concerned about which of the following findings?
Choose correct answer/s
A 2-cm nontender supraclavicular node
A 1-cm mobile and nontender axillary node
An inability to palpate any superficial lymph nodes
Firm inguinal nodes in a client with an infected foot
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Question 9
Multiple Choice
The nurse is caring for a client who had an intraoperative hemorrhage 12 hours ago. Which of the following laboratory results should the nurse anticipate?
Choose correct answer/s
Hematocrit of 45%
Hemoglobin of 132 g/L
Decreased white blood cell (WBC) count
Elevated reticulocyte count
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Question 10
Multiple Choice
The nurse is caring for a client whose complete blood count (CBC) and differential indicate that the client is neutropenic. Which of the following actions should the nurse include in the plan of care?
Choose correct answer/s
Avoid intramuscular injections.
Encourage increased oral fluids.
Check temperature every 4 hours.
Increase intake of iron-rich foods.
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Question 11
Multiple Choice
The nurse is caring for a newly admitted client whose complete blood count (CBC) shows a "shift to the left." Which of the following assessments should the nurse monitor in the plan of care?
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Cool extremities
Pallor and weakness
Elevated temperature
Low oxygen saturation
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Question 12
Multiple Choice
The health care provider orders an ultrasound of the spleen for a client who has been in a car accident. Which of the following actions should the nurse take before this procedure?
Choose correct answer/s
Check for any iodine allergy.
Insert a large-bore IV catheter.
Place the client on NPO status.
Assist the client to a flat position.
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Question 13
Multiple Choice
The nurse is caring for a client with pancytopenia of unknown origin who is confused and is scheduled for the following diagnostic tests. Which of the following tests should the nurse contact the client's family member to obtain a signed consent form?
Choose correct answer/s
ABO blood typing
Bone marrow biopsy
Abdominal ultrasound
Complete blood count (CBC)
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Question 14
Multiple Choice
The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following findings should the nurse identify as abnormal? (Select all that apply.)
Choose correct answer/s
Activated clotting time 118 seconds
Activated partial thromboplastin time 40 seconds
D-dimer 200 mcg/L
Fibrinogen 5 g/L
Prothrombin time 21 seconds
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