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NUR310 Chapter 31: Hematologic Problems Bridge to NCLEX Examination

Terms in this set (16)

In a severely anemic patient, the nurse would expect to find
a. dyspnea and tachycardia.
When obtaining assessment data from a patient with a microcytic, hypochromic anemia, the nurse would question the patient about
b. dietary intake of iron
Nursing interventions for a patient with severe anemia related to peptic ulcer disease include (select all that apply).
a. monitoring stools for guaiac.
b. instructions for high-iron diet.
The nursing management of a patient in sickle cell crisis includes (select all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if required and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
A complication of the hyperviscosity of polycythemia is
a. thrombis.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to
a. dab his or her nose instead of blowing.
The nurse would anticipate that a patient with von Willebrand disease undergoing surgery would be treated with administration of vWF and
d. factor VIII.
DIC is a disorder in which
c. a disease process stimulates coagulation processes with resultant thrombosis, as well as depletion of clotting factors, leading to diffuse clotting and hemorrhage.
Priority nursing actions when caring for a hospitalized patient with a new-onset temperature of 102.2 F and severe neutropenia include (select all that apply)
a. administering the prescribed antibiotic STAT.
b. drawing peripheral and central line blood cultures.
c. ongoing monitoring of the patient's vital signs for septic shock.
d. taking a full set of vital signs and notifying the physician immediately.
Because myelodysplastic syndrome arises from the pluripotent hematopoietic stem cell in the bone marrow, laboratory results the nurse would expect fo find include a(n)
d. deficiency of all cellular blood components.
The most common type of leukemia in older adults is
d. chronic lymphocytic leukemia.
Multiple drugs are often used in combinations to treat leukemia and lymphoma because
d. the drugs work by different mechanisms to maximize killing of malignant cells.
The nurse is aware that a major difference between Hodgkin's lymphoma and non-Hodgkin's lymphoma is that
c. non-Hodgkin's lymphoma can manifest in multiple organs.
A patient with multiple myeloma becomes confused and lethargic. The nurse would expect that these clinical manifestations may be explained by diagnositc resutls that indicate
c. hypercalcemia
When reviewing the patient's hematologic laboratory values after a splenectomy, the nurse would expect to find
d. increased platelet count.
Complications of transfusions that can be decreased by the use of leukocyte depletion or reduction of RBC transfusion are
d. transmission of cytomegalovirus and fever.
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