Chapter 31 Nursing Management Hematologic Problems

Chapter 31: Nursing Management: Hematologic Problems Test Bank MULTIPLE CHOICE 1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient’s laboratory findings to include a. a hematocrit (Hct) of 38%. b. an RBC count of 4,500,000/ µL. c. normal red blood cell (RBC) indices. d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). ANS: D The patient’s clinical manifestations indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of normal. DIF: Cognitive Level: Understand (comprehension) REF: 633 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. Which menu choice indicates that the†¦show more content†¦The other patient statements are correct. DIF: Cognitive Level: Apply (application) REF: 638 TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity 7. Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia? a. Potential complication: seizures b. Potential complication: infection c. Potential complication: neurogenic shock d. Potential complication: pulmonary edema USTESTBANK.COM ANS: B Because the patient with aplastic anemia has pancytopenia, the patient is at risk for infection and bleeding. There is no increased risk for seizures, neurogenic shock, or pulmonary edema. DIF: Cognitive Level: Apply (application) REF: 642 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 8. It is important for the nurse providing care for a patient with sickle cell crisis to a. limit the patient’s intake of oral and IV fluids. b. evaluate the effectiveness of opioid analgesics. c. encourage the patient to ambulate as much as tolerated. d. teach the patient about high-protein, high-calorie foods. ANS: B Pain is the most common clinical manifestation of a crisis and usually requires large doses of continuous opioids for control. Fluid intake should be increased to reduce blood viscosity and improve perfusion. Rest is usually ordered to