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Q 1/38
Score 0
An individual is who lives at a high altitude may normally have an increased Hgb and RBC count because
120
Hypoxia caused by decreased atmospheric O2 stimulates erythropoiesis
The function of the spleen in removing old RBC is impaired at high altitudes.
Impaired production of leukocytes and platelets leads to proportionally higher red cell count.
High altitudes causes vascular fluid loss, leading to hemoconcentration
Q 2/38
Score 0
An anticoagulant such as warfarin (Coumadin) that interferes with prothrombin production will alter the clotting mechanism during
120
Stimulation of factor activation complex.
Platelet aggregation
The release of tissue thromboplastin
Activation of thrombin
38 questions
Q.
An individual is who lives at a high altitude may normally have an increased Hgb and RBC count because
1
120 sec
Q.
An anticoagulant such as warfarin (Coumadin) that interferes with prothrombin production will alter the clotting mechanism during
2
120 sec
Q.
When reviewing laboratory results of an older patient with an infection, the nurse would expect to find
3
120 sec
Q.
In a severely anemic patient, the nurse would expect to find
4
120 sec
Q.
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.
e. Administration of IV iron and diet high in iron content.
5
120 sec
Q.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to
6
120 sec
Q.
DIC is a disorder in which
7
120 sec
Q.
A patient with multiple myeloma becomes confused and lethargic. The nurse would expect that these clinical manifestations may be explained by diagnostic results that indicate
8
120 sec
Q.
When reviewing the patientâs hematologic laboratory values after a splenectomy, the nurse would expect to find
9
120 sec
Q.
A nurse in a clinical is caring for a client who has suspected anemia. Which of the following laboratory test results should the nurse expect?
10
120 sec
Q.
A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the following laboratory test results indicates to the nurse that the client needs an increase in the dosage?
11
120 sec
Q.
A nurse is preparing to administer packed RBCs to a client who has a Hgb of 8 g/dL. Which of the following actions should the nurse plan to take during the 15 min of the transfusion?
12
120 sec
Q.
A nurse is planning care for a client who has Hgb 7.5 g/dL and Hct 21.5%. Which of the following actions should the nurse include in the plan of care? (Select all that apply)
a. Provide assistance with ambulation.
b. Monitor oxygen saturation
c. Weigh the client weekly.
d. Obtain stool specimen for occult blood.
e. Schedule daily rest periods.
13
120 sec
Q.
A nurse is caring for a client who had disseminated intravascular coagulation (DIC). Which of the following laboratory values indicate the clientâs clotting factors are depleted? (Select all that apply).
a. Platelets 100,000/mm3
b. Fibrinogen levels 57 mg/dL
c. Fibrin degradation products 4.3 mcg/mL
d. D-dimer 0.03 mcg/mL
e. Sedimentation rate 38 mm/hr.
14
120 sec
Q.
A nurse is caring for a client who has DIC. Which of the following medications should the nurse anticipate administering?
15
120 sec
Q.
A nurse is teaching a newly licensed nurse about heparin-induced thrombocytopenia. Which of the following risk factors for this disorder should the nurse include in the teaching?
16
120 sec
Q.
The client diagnosed with leukemia is being admitted for an induction course of chemotherapy. Which laboratory values indicate a diagnosis of leukemia?
17
120 sec
Q.
The nurse writes a diagnosis for a client diagnosed with anemia. Which interventions should be included in the plan of care? (Select all that apply)
a. Monitor the clientâs hemoglobin and hematocrit.
b. Move the client to a room near the nurseâs desk.
c. Limit the clientâs dietary intake of green vegetables.
d. Assess the client for numbness and tingling.
e. Allow for rest periods during the day for the client.
18
120 sec
Q.
Which sign/symptom should the nurse expect to assess in the client diagnosed with hemophilia A?
19
120 sec
Q.
Which nursing interventions should the nurse implement when caring for a client diagnosed with hemophilia A? (Select all that apply)
a. Instruct the client to use a razor blade to shave.
b. Avoid administering enemas to the client.
c. Encourage participation in noncontact sports.
d. Teach the patient how to apply direct pressure if bleeding occurs.
e. explain the importance of not flossing the gums.
20
120 sec
Q.
The student nurse asks the nurse, âWhat is sickle cell anemia?â Which the statement by the nurse would be the best answer to the studentâs question?
21
120 sec
Q.
The nurse is reviewing laboratory results and notes a patientâs activated partial thromboplastin time (aPTT) level of 28 seconds. The nurse should notify the health care provider in anticipation of adjusting which medication?
22
120 sec
Q.
. The complete blood count (CBC) indicates that a patient is thrombocytopenic. Which action should the nurse include in the plan of care?
23
120 sec
Q.
The health care providerâs progress note for a patient states that the complete blood count (CBC) shows a âshift to the left.â Which assessment finding will the nurse expect?
24
120 sec
Q.
A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patientâs laboratory test findings to include
25
120 sec
Q.
A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
26
120 sec
Q.
An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
27
120 sec
Q.
Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
28
120 sec
Q.
Which instruction will the nurse plan to include in discharge teaching for a patient admitted with a sickle cell crisis?
29
120 sec
Q.
A patient who has been receiving IV heparin infusion and oral warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT) when the platelet level drops to 110,000/”L. Which action will the nurse include in the plan of care?
30
120 sec
Q.
Which intervention will be included in the nursing care plan for a patient with immune thrombocytopenic purpura?
31
120 sec
Q.
The nurse is caring for a patient with type A hemophilia being admitted to the hospital with severe pain and swelling in the right knee. The nurse should
32
120 sec
Q.
Which action will the admitting nurse include in the care plan for a patient who has neutropenia?
33
120 sec
Q.
Which assessment finding should the nurse caring for a patient with thrombocytopenia communicate immediately to the health care provider?
34
120 sec
Q.
A patient in the emergency department complains of back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. The nurseâs first action should be to
35
120 sec
Q.
Which problem reported by a patient with hemophilia is most important for the nurse to communicate to the health care provider?
36
120 sec
Q.
After receiving change-of-shift report for several patients with neutropenia, which patient should the nurse assess first?
37
120 sec
Q.
Which finding about a patient with polycythemia Vera is most important for the nurse to report to the health care provider?