Phase 30 Nursing jobs Assessment Hematologic System

 Chapter 35 Nursing Evaluation Hematologic Program Essay

Chapter 30: Nursing Evaluation: Hematologic Program

Test Financial institution

MULTIPLE CHOICE

1 . The nurse is usually caring for someone who is getting discharged following an emergency splenectomy

following a motor vehicle accident. Which instructions should the nurse include in the release teaching?

a. Watch for excessive bruising.

n. Check for enlarged lymph nodes.

c. Take iron nutritional supplements to prevent low blood count.

d. Clean hands and avoid persons who also are ill.

ANS: G

Splenectomy increases the risk for disease, especially with gram-positive bacteria. The potential risks for lymphedema, bleeding, and anemia aren't increased after a person contains a splenectomy. DIF: Cognitive Level: Apply (application)

REF:

618

TOP: Nursing jobs Process: Execution

MSC: NCLEX: Physiological Honesty

2 . The nurse assesses a patient that has numerous petechiae on the two arms. Which will question

should the nurse ask the patient?

a. " Do you really take salicylates? ”

w. " Will you be taking any oral contraceptives? ”

c. " Have you been recommended antiseizure drugs? ”

g. " How much time have you used antihypertensive drugs? ”

ANS: A

Salicylates interfere with platelet function and will lead to petechiae and ecchymoses. Antiseizure prescription drugs may cause anemia, but not clotting disorders or perhaps bleeding. Oral contraceptives increase someone’s clotting risk. Antihypertensives do not usually issues with lowered clotting.

DIF: Cognitive Level: Understand (comprehension)

REF: eTable 30-1

BEST: Nursing Process: Assessment

MSC: NCLEX: Physical Integrity

several. A doctor reviews the laboratory info for an old patient. The nurse can be most worried

about which will finding?

a. Hematocrit of 35%

w. Hemoglobin of 11. almost 8 g/dL

c. Platelet rely of 4 hundred, 000/ВµL

d. White blood vessels cell (WBC) count of 2800/ВµL

ANS: D

For the reason that total WBC count is definitely not usually affected by ageing, the low WBC count in this patient would indicate the fact that patient's resistant function could possibly be compromised as well as the underlying reason behind the problem needs to be investigated. The platelet depend is normal. The slight decrease in hemoglobin and hematocrit are generally not unusual to get an older sufferer. DIF: Intellectual Level: Apply (application)

REF:

619

LEADING: Nursing Procedure: Assessment

MSC: NCLEX: Physiological Integrity

USTESTBANK. COM

4. A patient with pancytopenia has a bone marrow aspiration from your left detras iliac crest.

Which actions would be essential for the registered nurse to take following the procedure? a. Elevate the top of the pickup bed to forty-five degrees.

w. Apply a sterile 2-inch gauze dress up to the site.

c. Use a half-inch clean and sterile gauze to pack the wound.

d. Have the individual lie on the left side for one hour.

ANS: G

To decrease the danger for bleeding, the patient should certainly lie on the left side for 35 to 1 hr. After a bone fragments marrow biopsy, the twisted is small , will not be packed with gauze. A pressure dress up is used to hide the aspiration site. There is no indication to raise the person's head.

DIF: Cognitive Level: Apply (application)

REF:

630

TOP: Nursing Process: Execution

MSC: NCLEX: Physiological Ethics

5. The nurse assesses a patient with pernicious anemia. Which examination finding might the

registered nurse expect?

a. Yellow-tinged sclerae

b. Gleaming, smooth tongue

c. Pins and needles of the extremities

d. Bubble gum bleeding and tenderness

ANS: C

Extremity numbness can be associated with cobalamin (vitamin B12) deficiency or pernicious anemia. Loss of the papillae of the tongue occurs with serious iron deficit. Yellow-tinged sclera is connected with hemolytic low blood count and the resulting jaundice. Chewing gum bleeding and tenderness occur with thrombocytopenia or neutropenia.

DIF: Cognitive Level: Apply (application)

REF:

622

LEADING: Nursing Process: Assessment

MSC: NCLEX: Physical Integrity

6. A person's complete blood vessels count (CBC) shows a hemoglobin of 19 g/dL and a hematocrit of

54%. Which usually question should the nurse question to determine possible causes of this finding? a. " Maybe you have had a recent weight loss? ”

b. " Do you...

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