Question 1

The nurse is providing care to the patient with Hodgkin disease who has cervical lymph node enlargement. Which of the following symptoms should the nurse attend to first?

Accepted Answer

Stridor is a high-pitched wheezing sound caused by disrupted airflow. In a patient with Hodgkin disease and cervical lymph node enlargement, stridor could indicate airway obstruction, which is a medical emergency requiring immediate attention. Pain, fever, and fatigue, while important, are not as immediately life-threatening as airway compromise.

Question 2

The nurse is caring for the patient with iron deficiency anemia, who has been taking oral iron supplements. Which of the following laboratory tests would determine the effectiveness of this intervention?

Accepted Answer

Hemoglobin and hematocrit levels are direct indicators of the oxygen-carrying capacity of the blood and are used to assess the severity and response to treatment of anemia, including iron deficiency anemia.

Question 3

The home care nurse is providing teaching to the family of a patient with multiple myeloma. Which nursing diagnosis should guide the nurse for this teaching?

Accepted Answer

Multiple myeloma is a type of cancer that affects plasma cells in the bone marrow, leading to weakened bones and increased risk of fractures. Therefore, "Risk for injury related to compromised bone integrity" is the most appropriate nursing diagnosis to guide teaching for a patient with multiple myeloma.

Question 4

The nurse is preparing to provide therapeutic treatment to the patient with an exacerbation of polycythemia vera (PV). Which of the following is the expected treatment for this patient?

Accepted Answer

Therapeutic phlebotomy is a common treatment for polycythemia vera (PV) to reduce the high levels of red blood cells and decrease blood viscosity, helping to prevent complications such as blood clots.

Question 5

The nurse is following the care plan risk for ineffective peripheral perfusion related to sickled cells and infarction. Which of the following would be the most appropriate intervention?

Accepted Answer

Avoiding restrictive clothing and raising the knee gatch in the bed can help improve blood flow and reduce the risk of further sickling and infarction by preventing constriction of blood vessels and promoting better circulation.

Question 6

The nurse is caring for the patient with hemoglobin less than 6 g/dL. Which of the following clinical manifestations would the nurse expect the patient to present?

Accepted Answer

The answer of The nurse is caring for the patient...

Question 7

The nurse is providing care to the patient with thrombocytopenia. Which of the following activities should the patient avoid?

Accepted Answer

The answer of The nurse is providing care to the...

Question 8

The nurse is assisting in the development of a care plan for a patient with pernicious anemia. Which of the following would be the most common nursing diagnosis with this medical condition?

Accepted Answer

Pernicious anemia leads to a decrease in red blood cells, which affects the oxygen-carrying capacity of the blood, leading to tissue hypoxia and resulting in activity intolerance.

Question 9

The nurse is caring for the patient with pernicious anemia. The patient asks why this happened when she has regularly taken iron supplements while following a strict vegetarian diet. Which of the following would be the nurse's most appropriate response?

Accepted Answer

The answer of The nurse is caring for the patient...

Question 10

The nurse caring for a patient with chronic leukemia in an acute care setting. The patient asks the nurse to observe the patient's last bowel movement as it is very dark. The nurse immediately contacts the primary health care provider (HCP). What would explain the nurse's action?

Accepted Answer

The nurse's concern for a gastrointestinal bleed is warranted because dark stools can indicate bleeding in the upper gastrointestinal tract. This is a serious condition that requires immediate attention, especially in a patient with chronic leukemia who may already be at an increased risk for bleeding due to the disease's impact on blood cells and clotting factors.

Question 11

The nurse is caring for a patient with iron deficiency anemia, which of the following would be the most appropriate nursing intervention for this patient?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 12

The nurse is providing care to a patient with a hematological disorder. Which of the following would be a manifestation of disseminated intravascular coagulation (DIC)?

Accepted Answer

The answer of The nurse is providing care to a...

Question 13

The nurse is caring for a patient receiving treatment for a hemolytic anemia due to a reaction from a mismatched blood transfusion. The nurse understands that hemolytic anemia is a definition of what type of anemia?

Accepted Answer

Hemolytic anemia is characterized by the destruction of red blood cells (RBCs), which can occur due to various reasons including reactions from mismatched blood transfusions.

Question 14

The nurse is caring for a patient in sickle cell crisis. What is the rationale for providing warm compresses and blankets for this patient?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 15

The nurse is assisting the patient with multiple myeloma in arranging a meal plan to lower the risk of complications from hypercalcemia. Which of the following would be the most important component of the patient's intake?

Accepted Answer

Increasing fluid intake is crucial for patients with multiple myeloma, especially those at risk of hypercalcemia, to help prevent kidney stones and support kidney function by flushing excess calcium out of the body.

Question 16

The nurse is caring for a patient with thrombocytopenia. Which of the following products would the nurse anticipate being prescribed?

Accepted Answer

Cryoprecipitate is often used in the treatment of conditions involving low fibrinogen levels, such as in cases of thrombocytopenia, where it can help with clotting issues.

Question 17

The nurse is providing care to the patient with suspected aplastic anemia. The HCP has completed a bone marrow biopsy. Which of the following would be a description of the bone marrow that would signify a positive diagnosis of aplastic anemia?

Accepted Answer

Aplastic anemia is characterized by a reduction in the production of blood cells, leading to a bone marrow that is pale, fatty, and fibrous due to the lack of hematopoietic (blood-forming) cells.

Question 18

The nurse is caring for a patient with stage IV Hodgkin disease. Where should the nurse expect to find enlarged lymph nodes during the assessment?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 19

The nurse is triaging several patients in an urgent care center. One patient states that he has hemophilia and is bleeding, with no apparent signs of bleeding. Which action by the nurse is most appropriate at this time?

Accepted Answer

Patients with hemophilia can experience bleeding into joints and muscles without obvious external signs. Immediate assessment and intervention by a healthcare provider are crucial to prevent complications, making placing the patient in an examination room and notifying the physician the most appropriate action.

Question 20

The nurse is providing education to a patient newly diagnosed with iron deficiency anemia. Which of the following would be a component of the education?

Accepted Answer

Citrus fruits are high in vitamin C, which can enhance the absorption of iron from the gastrointestinal tract. This is beneficial for patients with iron deficiency anemia to increase the effectiveness of their iron supplementation or dietary intake.

Quiz 28: Nursing Care of Patients With Hematological and Lymphatic Disorders

The nurse is providing care to the patient with Hodgkin disease who has cervical lymph node enlargement. Which of the following symptoms should the nurse attend to first?

The nurse is caring for the patient with iron deficiency anemia, who has been taking oral iron supplements. Which of the following laboratory tests would determine the effectiveness of this intervention?

The home care nurse is providing teaching to the family of a patient with multiple myeloma. Which nursing diagnosis should guide the nurse for this teaching?

The nurse is preparing to provide therapeutic treatment to the patient with an exacerbation of polycythemia vera (PV) . Which of the following is the expected treatment for this patient?

The nurse is following the care plan risk for ineffective peripheral perfusion related to sickled cells and infarction. Which of the following would be the most appropriate intervention?

The nurse is caring for the patient with hemoglobin less than 6 g/dL. Which of the following clinical manifestations would the nurse expect the patient to present?

The nurse is providing care to the patient with thrombocytopenia. Which of the following activities should the patient avoid?

The nurse is assisting in the development of a care plan for a patient with pernicious anemia. Which of the following would be the most common nursing diagnosis with this medical condition?

The nurse is caring for the patient with pernicious anemia. The patient asks why this happened when she has regularly taken iron supplements while following a strict vegetarian diet. Which of the following would be the nurse's most appropriate response?

The nurse caring for a patient with chronic leukemia in an acute care setting. The patient asks the nurse to observe the patient's last bowel movement as it is very dark. The nurse immediately contacts the primary health care provider (HCP) . What would explain the nurse's action?

The nurse is caring for a patient with iron deficiency anemia, which of the following would be the most appropriate nursing intervention for this patient?

The nurse is providing care to a patient with a hematological disorder. Which of the following would be a manifestation of disseminated intravascular coagulation (DIC) ?

The nurse is caring for a patient receiving treatment for a hemolytic anemia due to a reaction from a mismatched blood transfusion. The nurse understands that hemolytic anemia is a definition of what type of anemia?

The nurse is caring for a patient in sickle cell crisis. What is the rationale for providing warm compresses and blankets for this patient?

The nurse is assisting the patient with multiple myeloma in arranging a meal plan to lower the risk of complications from hypercalcemia. Which of the following would be the most important component of the patient's intake?

The nurse is caring for a patient with thrombocytopenia. Which of the following products would the nurse anticipate being prescribed?

The nurse is providing care to the patient with suspected aplastic anemia. The HCP has completed a bone marrow biopsy. Which of the following would be a description of the bone marrow that would signify a positive diagnosis of aplastic anemia?

The nurse is caring for a patient with stage IV Hodgkin disease. Where should the nurse expect to find enlarged lymph nodes during the assessment?

The nurse is triaging several patients in an urgent care center. One patient states that he has hemophilia and is bleeding, with no apparent signs of bleeding. Which action by the nurse is most appropriate at this time?

The nurse is providing education to a patient newly diagnosed with iron deficiency anemia. Which of the following would be a component of the education?