Question 1

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

Accepted Answer

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.E) A) and C)
F) A) and B)

Question 2

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

Accepted Answer

A)   blurred vision.
B)   cardiac palpitations.
C)   increased appetite.
D)   warm, flushing sensations.E) None of the above
F) A) and B)

Question 3

A client who has hemophilia A and his wife, who is not a carrier of the disease, wish to start a family. In discussing the risk factors of transmitting hemophilia to his children, it is important to explain that

Accepted Answer

A)   none of his children are likely to have hemophilia.
B)   all of his children will be carriers.
C)   all of his sons will have hemophilia.
D)   50% of his children are at risk for developing the disease.E) A) and D)
F) None of the above

Question 4

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

Accepted Answer

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.E) None of the above
F) All of the above

Question 5

The nurse can decrease the danger of transfusion reactions in a client by

Accepted Answer

A)   adding sterile saline to the blood transfusion.
B)   forcing fluids.
C)   infusing the blood slowly during the first 15 minutes.
D)   monitoring the urine output.E) B) and D)
F) B) and C)

Question 6

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

Accepted Answer

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."E) A) and B)
F) B) and C)

Question 7

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

Accepted Answer

A)   15%.
B)   25%.
C)   35%.
D)   45%.E) B) and C)
F) B) and D)

Question 8

A client is recovering from mononucleosis but is upset that 12 weeks after diagnosis she is still too weak to resume normal household and work chores. The client states that the spouse and children are getting very tired of "doing everything" while the client "just sits around." The most appropriate response by the nurse is to tell the client

Accepted Answer

A)   convalescence is lengthy and people often report fatigue as late as 6 months later.
B)   further diagnostic testing may be necessary to determine the cause of the fatigue.
C)   it has been long enough now to start resuming normal activities.
D)   medications exist that can boost strength and endurance after mononucleosis.E) None of the above
F) A) and D)

Question 9

A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O2 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?

Accepted Answer

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.E) B) and C)
F) A) and D)

Question 10

The nurse planning care of a client with multiple myeloma includes the intervention of

Accepted Answer

A)   administering frequent mouth care.
B)   encouraging ingestion of dairy products.
C)   forcing fluids.
D)   maintaining reverse isolation.E) A) and B)
F) All of the above

Question 11

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

Accepted Answer

A)   genetic counseling.
B)   identifying complications.
C)   managing manifestations.
D)   rehabilitative measures.E) B) and C)
F) A) and D)

Question 12

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?

Accepted Answer

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 changesE) C) and D)
F) B) and C)

Question 13

When teaching a client who has multiple myeloma about self-care in the home, the nurse should advise the client and family take appropriate precautions to

Accepted Answer

A)   alleviate diarrhea.
B)   prevent fractures.
C)   prevent seizures.
D)   protect visitors.E) C) and D)
F) All of the above

Question 14

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

Accepted Answer

A)   chronic fatigue and activity intolerance.
B)   no significant manifestations.
C)   shortness of breath, worse on exertion.
D)   tachycardia and palpitations.E) A) and D)
F) B) and C)

Question 15

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

Accepted Answer

A)   clotting studies.
B)   endoscopy.
C)   hemoglobin levels.
D)   Schilling test.E) C) and D)
F) A) and D)

Question 16

An important self-care measure the nurse teaches a client who has sickle cell disease is to

Accepted Answer

A)   avoid crowds and people who are sick.
B)   eat a well-balanced diet with plenty of fiber.
C)   get plenty of vigorous exercise daily.
D)   have genetic testing done if contemplating children.E) B) and C)
F) C) and D)

Question 17

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

Accepted Answer

A)   blood transfusion recently?"
B)   cardiac catheterization?"
C)   operation involving the stomach?"
D)   pregnancy terminated within the past 6 months?"E) A) and B)
F) All of the above

Question 18

A client has been newly diagnosed with multiple myeloma and is going to be followed up with frequent, close monitoring. The client states "I'm glad at least that this disease is not so bad. I was really worried they'd find something really wrong." What response by the nurse is most appropriate?

Accepted Answer

A)   Agree with the client that he/she is quite lucky.
B)   Ask the client what the physician has told him/her about the disease.
C)   Explain the complicated drug regimen that will start once the client has symptoms.
D)   Warn the client that there will be days when he/she feels really bad.E) A) and B)
F) All of the above

Exam 75: Management of Clients with Hematologic Disorders

Correct Answer
verified

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

Correct Answer
verified

A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O₂ 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?

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

When teaching a client who has multiple myeloma about self-care in the home, the nurse should advise the client and family take appropriate precautions to

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

The nurse can decrease the danger of transfusion reactions in a client by

Correct Answer
verified

The nurse planning care of a client with multiple myeloma includes the intervention of

Correct Answer
verified

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

Correct Answer
verified

Correct Answer
verified

A client who has hemophilia A and his wife, who is not a carrier of the disease, wish to start a family. In discussing the risk factors of transmitting hemophilia to his children, it is important to explain that

Correct Answer
verified

An important self-care measure the nurse teaches a client who has sickle cell disease is to

Correct Answer
verified

A client has been newly diagnosed with multiple myeloma and is going to be followed up with frequent, close monitoring. The client states "I'm glad at least that this disease is not so bad. I was really worried they'd find something really wrong." What response by the nurse is most appropriate?

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

Exam 75: Management of Clients with Hematologic Disorders

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O2 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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

When teaching a client who has multiple myeloma about self-care in the home, the nurse should advise the client and family take appropriate precautions to

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

The nurse can decrease the danger of transfusion reactions in a client by

Correct AnswerverifiedShow Answer

The nurse planning care of a client with multiple myeloma includes the intervention of

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A client who has hemophilia A and his wife, who is not a carrier of the disease, wish to start a family. In discussing the risk factors of transmitting hemophilia to his children, it is important to explain that

Correct AnswerverifiedShow Answer

An important self-care measure the nurse teaches a client who has sickle cell disease is to

Correct AnswerverifiedShow Answer

A client has been newly diagnosed with multiple myeloma and is going to be followed up with frequent, close monitoring. The client states "I'm glad at least that this disease is not so bad. I was really worried they'd find something really wrong." What response by the nurse is most appropriate?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

A client has a hemoglobin level of 8.2 g/dl. The nurse finds the client dyspneic with an O₂ 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?

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified