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Med-Surg Final- Chapter 39 Assessment of Hematologic System
Terms in this set (13)
A nurse wants to know why patients with COPD tend to be polycythemic. What response by the nurse instructor is best?
D. It compensates for tissue hypoxia caused by lung disease
A client is receiving rivaroxaban (Xarelto) and asks the nurse to explain how it works. What response by the nurse is best?
A. It inhibits thrombin
The health care provider tells the nurse that a client is to be started on a platelet inhibitor. About what drug does the nurse plan to teach the client?
A. Clopidogrel (Plavix)
A nurse is assessing a dark-skinned client for pallor. Which action is best?
A. assess the conjunctiva of the eye
A hospitalized client has a platelet count of 58,000/mm. What action by the nurse is best?
D. Place the client on safety precations
A client is having a bone marrow biopsy today. What action by the nurse takes priority?
B. Ensure valid consent is on the chart
A nurse is caring for 4 clients. After reviewing today;s lab results, which client should the nurse see first?
C. Client with a PT of 28 seconds
(normal PT 11-12.5sec)
A client is having a bone marrow biopsy and is extremely anxious. What action by the nurse is best?
A. Assess client fears and coping mechanisms
A client is having a radioisotropic imaging scan. What action by the nurse is most important?
D. Teach the client about the procedure
A student nurse learns that the spleen has several functions. What functions do they include? SATA
A. Breaks down hemoglobin
B. Destroys old or defective RBC's
E. Stores platelets not circulating
An older client asks the nurse why "people my age" have weaker immune systems than younger people. What responses are best? SATA
A. Bone marrow produces fewer red blood cells
C. You have lower levels of plasma proteins in the blood
A nursing student learns that many drugs can impair the immune system. Which drugs does that include? SATA
B. Amphotericin B
A nurse works in the gerontology clinic. What age-related changes cause the nurse to alter standard assessment techniques? SATA
B. Nail beds may be thickened or discolored
C. Progressive loss of hair occurs with age
E. Skin become dry as the client ages
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