Question 1

A client reports a sensation of stomach fullness, fatigue, nausea, vomiting, and abdominal bloating. The client is diagnosed with stomach cancer. Which prescribed medication requires the nurse to closely monitor the client for clotting issues?
A)Cisplatin
B)Ticlopidine
C)Cyclosporine
D)Tacrolimus

Accepted Answer

A

Question 2

A client with hemolytic-uremic syndrome reports fever, abdominal pain, pale skin, bruising, and bleeding of the skin. Which medication or treatment will be beneficial for the client?
A)Supportive treatment with dialysis and plasma exchange
B)Aspirin and antiplatelet drugs
C)Desmopressin acetate
D)Immunomodulatory drugs

Accepted Answer

Hemolytic-uremic syndrome (HUS) often requires supportive treatment, including dialysis for kidney failure and plasma exchange to remove toxins from the blood, which can be beneficial in managing the condition.

Question 3

A school-age client is brought to an acute care facility because of bloody diarrhea. The vital signs of the client show a body temperature of 101°F and blood pressure of 125/85 mm Hg. Recent activity involved camping and swimming in a local lake. With which condition does the nurse expect the client be diagnosed?
A)Hemolytic-uremic syndrome
B)Von Willebrand disease
C)Essential thrombocytosis
D)Hemophilia

Accepted Answer

Hemolytic-uremic syndrome is often caused by E. coli infection, which can be contracted from contaminated water or food, making it a likely diagnosis for a client with bloody diarrhea following camping and swimming in a lake.

Question 4

A client reports shortness of breath and severe pain in the back, chest, and muscles. Which condition does the nurse recognize as a possible diagnosis for the client?
A)Hemophilia B
B)Hemophilia A
C)Disseminated intravascular coagulation
D)Von Willebrand disease

Accepted Answer

Disseminated intravascular coagulation (DIC) can cause widespread clotting in small vessels throughout the body, leading to severe pain in various parts like the back, chest, and muscles, as well as symptoms such as shortness of breath. Hemophilia A, Hemophilia B, and Von Willebrand disease primarily affect the blood's ability to clot, leading to bleeding problems rather than the symptoms described.

Question 5

Which statement made by an attending nursing staff member indicates effective learning about the coagulation factors and intrinsic pathway?
A)"The clotting time is measured by prothrombin time."
B)"The clotting time is measured by activated partial thromboplastin time (aPTT)."
C)"TF-factor VII is formed by factor VII and tissue factor."
D)"Fibroblasts and leukocytes are stimulated with injury."

Accepted Answer

The intrinsic pathway of coagulation is measured by activated partial thromboplastin time (aPTT), which evaluates the function of several clotting factors within this pathway.

Question 6

While reviewing a client's medical history, the nurse understands that the client is at risk of bleeding because the client's platelet count is 80,000/uL. Which condition is this?
A)Thrombocytosis
B)Thrombocytopenia
C)Thrombus
D)Thrombosis

Accepted Answer

Thrombocytopenia is the condition characterized by a low platelet count, which increases the risk of bleeding. A count of 80,000/uL is below the normal range (150,000 to 450,000/uL), indicating thrombocytopenia.

Question 7

A client reports unsteadiness, vertigo, dizziness, and seizures. On assessment, the client is diagnosed with essential thrombocytosis. Which is the abnormal manifestation found during the diagnosis?
A)Decreased bleeding
B)Decreased number of white blood cells (WBCs)
C)Decreased number of platelets
D)Increased number of red blood cells (RBCs)

Accepted Answer

The answer of A client reports unsteadiness, vertigo, dizziness, and...

Question 8

A client in a health-care unit has acute immune thrombocytopenic purpura. Which is a unique feature of acute immune thrombocytopenic purpura?
A)Occurs in children
B)Occurs in adults
C)Occurs in persons aged 20 to 50 years
D)Occurs twice as often in men than in women

Accepted Answer

Acute immune thrombocytopenic purpura (ITP) is more commonly seen in children, often following a viral infection, and is characterized by a sudden onset of symptoms.

Question 9

A client reports abdominal pain, fever, and fatigue. On assessment, the client is diagnosed with hemolytic-uremic syndrome. Which abnormal diagnostic test result could further confirm the diagnosis?
A)High proteinuria and hematuria
B)High blood urea nitrogen
C)Low serum creatinine
D)Low bilirubin

Accepted Answer

High blood urea nitrogen is indicative of kidney dysfunction, which is a key feature of hemolytic-uremic syndrome.

Question 10

The nurse educator is preparing material for a nursing staff program about coagulation processes. Which material does the nurse include with regard to platelets?
A)Formation is inhibited by the hormone thrombopoietin
B)Normal platelet life span is 14 to 21 days
C)Almost one-third of platelets reside in the spleen
D)Megakaryocytes have a nucleus with RNA present

Accepted Answer

Platelets are stored in the spleen, with about one-third of the body's platelets residing there.

Question 11

The nurse is providing care for a client receiving emergency care for a condition presenting with the symptoms of a stroke. Which characteristic of the involved clotting pathway does the nurse recognize?
A)The extrinsic pathway is stimulated because of trauma
B)Diagnostic testing will involve both the prothrombin time (PT) and international normalized ratio (INR)
C)Injury has occurred to the endothelial lining of a vessel
D)The intrinsic pathway does not convert fibrinogen to fibrin

Accepted Answer

Injury to the endothelial lining of a vessel exposes collagen, which activates the intrinsic pathway.

Question 12

An adult client who presents with symptoms of redness, heat, and pain in the joints undergoes a complete blood count test. The blood report shows an increased white blood cell count. Which condition does this indicate?
A)Inflammation
B)Anemia
C)Increased bleeding tendency
D)Pulmonary embolism

Accepted Answer

An increased white blood cell count is a common indicator of inflammation or infection in the body, as these cells are part of the immune system's response to such conditions. The symptoms of redness, heat, and pain in the joints also suggest inflammation, making option A the correct answer.

Question 13

Which statement is true regarding megakaryocytes?
A)They are invisible in bone marrow.
B)They have a nucleus.
C)They can synthesize proteins.
D)They mature into platelets.

Accepted Answer

Megakaryocytes are large, polyploid cells found in the bone marrow. They are responsible for producing platelets, which are essential for blood clotting. Megakaryocytes have a nucleus and can synthesize proteins.

Question 14

Two clients are admitted into an acute care unit for clotting-related conditions. One of the clients is prescribed the drug fondaparinux, whereas the other client is prescribed dabigatran. In which way is fondaparinux different from dabigatran?
A)Fondaparinux is administered by subcutaneous injection.
B)Fondaparinux is an oral form of anticoagulant.
C)Fondaparinux is used to prevent stroke in clients with atrial fibrillation.
D)Fondaparinux is also called factor IIa.

Accepted Answer

Fondaparinux is administered by subcutaneous injection, whereas dabigatran is taken orally. This is the primary administration difference between the two drugs.

Question 15

The nurse is caring for a client who feels tired and weak and reports shortness of breath and pink or purple spots on the skin. Which treatment does the nurse recognize as the most effective intervention for this client?
A)Performing plasmapheresis
B)Administering corticosteroid drugs
C)Providing direct thrombin inhibitors
D)Performing factor VIII replacement therapy

Accepted Answer

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

Question 16

Low-molecular-weight heparin (LMWH) is a class of anticoagulant medications. Which is a characteristic of LMWH?
A)It consists of large fragments of heparin.
B)It binds to plasma proteins as strongly as standard heparin.
C)It can be administered subcutaneously.
D)It has more side effects than standard heparin.

Accepted Answer

LMWH can be administered subcutaneously, offering a more convenient option for patients compared to intravenous administration, which is often required for standard heparin.

Question 17

Which does the nurse recognize as the best intervention for immediately lowering the platelet count to safer levels in a client diagnosed with severe life-threatening thrombocytosis?
A)Administering aspirin in a small dose
B)Providing clopidogrel to inhibit blood clotting
C)Administering hydroxyurea to lower the platelet count
D)Performing pheresis to remove whole blood from the donor

Accepted Answer

Performing pheresis, specifically plateletpheresis, is the most immediate intervention to lower platelet counts in severe cases of thrombocytosis. This procedure directly removes excess platelets from the blood.

Question 18

The nurse is caring for a client who reports with severe bleeding. The primary health-care provider prescribes a diagnostic test that would measure the time taken for the blood to clot and examine the extrinsic pathway of coagulation cascade. Which diagnostic test does the nurse expect to be performed?
A)Fibrinogen test
B)Activated partial thromboplastin time test
C)Platelet aggregation test
D)Prothrombin time test

Accepted Answer

The Prothrombin Time (PT) test measures the time it takes for blood to clot and examines the extrinsic pathway of the coagulation cascade, which is relevant when assessing conditions related to severe bleeding.

Question 19

Which is a supportive treatment for a client with disseminated intravascular coagulation?
A)Transfuse fresh frozen plasma.
B)Maintain fluid and electrolyte balance.
C)Start prophylactic treatment with phenytoin.
D)Transfuse with whole blood products.

Accepted Answer

The answer of Which is a supportive treatment for a...

Question 20

The nurse is providing care for a client diagnosed with heart failure, which inhibits ambulatory activities. Which factor does the nurse recognize as the greatest risk for enhanced platelet activity with this client?
A)Disturbances in blood flow
B)Stasis of blood flow
C)Increase in procoagulation factors
D)Decrease in anticoagulation factors

Accepted Answer

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

Quiz 14: Disorders of Platelets, Hemostasis, and Coagulation

A client reports a sensation of stomach fullness, fatigue, nausea, vomiting, and abdominal bloating. The client is diagnosed with stomach cancer. Which prescribed medication requires the nurse to closely monitor the client for clotting issues?

A client with hemolytic-uremic syndrome reports fever, abdominal pain, pale skin, bruising, and bleeding of the skin. Which medication or treatment will be beneficial for the client?

A client reports shortness of breath and severe pain in the back, chest, and muscles. Which condition does the nurse recognize as a possible diagnosis for the client?

Which statement made by an attending nursing staff member indicates effective learning about the coagulation factors and intrinsic pathway?

While reviewing a client's medical history, the nurse understands that the client is at risk of bleeding because the client's platelet count is 80,000/uL. Which condition is this?

A client reports unsteadiness, vertigo, dizziness, and seizures. On assessment, the client is diagnosed with essential thrombocytosis. Which is the abnormal manifestation found during the diagnosis?

A client in a health-care unit has acute immune thrombocytopenic purpura. Which is a unique feature of acute immune thrombocytopenic purpura?

A client reports abdominal pain, fever, and fatigue. On assessment, the client is diagnosed with hemolytic-uremic syndrome. Which abnormal diagnostic test result could further confirm the diagnosis?

The nurse educator is preparing material for a nursing staff program about coagulation processes. Which material does the nurse include with regard to platelets?

The nurse is providing care for a client receiving emergency care for a condition presenting with the symptoms of a stroke. Which characteristic of the involved clotting pathway does the nurse recognize?

An adult client who presents with symptoms of redness, heat, and pain in the joints undergoes a complete blood count test. The blood report shows an increased white blood cell count. Which condition does this indicate?

Which statement is true regarding megakaryocytes?

Two clients are admitted into an acute care unit for clotting-related conditions. One of the clients is prescribed the drug fondaparinux, whereas the other client is prescribed dabigatran. In which way is fondaparinux different from dabigatran?

The nurse is caring for a client who feels tired and weak and reports shortness of breath and pink or purple spots on the skin. Which treatment does the nurse recognize as the most effective intervention for this client?

Low-molecular-weight heparin (LMWH) is a class of anticoagulant medications. Which is a characteristic of LMWH?

Which does the nurse recognize as the best intervention for immediately lowering the platelet count to safer levels in a client diagnosed with severe life-threatening thrombocytosis?

Which is a supportive treatment for a client with disseminated intravascular coagulation?

The nurse is providing care for a client diagnosed with heart failure, which inhibits ambulatory activities. Which factor does the nurse recognize as the greatest risk for enhanced platelet activity with this client?