Deck 21: Disorders of Oxygen Transport

Question 1

Which laboratory assessment data indicates to the nurse that a patient has anemia?

A) Reduced erythrocytes
B) Elevated leukocytes
C) Reduced thrombocytes
D) Elevated neutrophils

Answer 1

Reduced erythrocytes

Question 2

Which laboratory result confirms to the nurse that therapy for pernicious anemia has been effective?

A) An increase in ferritin levels
B) An increase in folate levels
C) An increase in transferrin levels
D) An increase in vitamin B₁₂ levels

Answer 2

An increase in vitamin B₁₂ levels

Question 3

Which vital signs would the nurse expect to find in a patient with anemia?

A) Heart rate 88 beats/minute; respirations 16 breaths/minute
B) Heart rate 74 beats/minute, respirations 20 breaths/minute
C) Heart rate 108 beats/minute, respirations 26 breaths/minute
D) Heart rate 120 beats/minute; respirations 16 breaths/minute

Answer 3

Heart rate 108 beats/minute, respirations 26 breaths/minute

Question 4

Which instruction should be included in the teaching plan for a patient with hemochromatosis?

A) Reduce intake of foods high in iron.
B) Watch for signs and symptoms of infection.
C) Report bleeding.
D) Reduce intake of foods high in dietary fructose.

Question 5

The nurse is providing dietary instructions to a pregnant patient. The nurse recommends that the daily intake of iron should be:

A) 8 mg/day.
B) 15 mg/day.
C) 22 mg/day.
D) 27 mg/day.

Question 6

To increase absorption of dietary iron, the nurse recommends that a patient with anemia drink which beverage with meals?

A) Tea
B) Orange juice
C) Milk
D) Water

Question 7

The plan of care for a patient with anemia due to alcoholism should include administration of which vitamin?

A) Vitamin A
B) B vitamins
C) Vitamin C
D) Vitamin D

Question 8

The nurse is counseling a couple who would like to start a family. The man has sickle cell disease and the woman does not have sickle cell disease or the sickle cell trait. Which statement by the man indicates an understanding of the transmission of the disease?

A) "All our children will have the sickle cell trait."
B) "Each child has a 50% chance of having the sickle cell trait."
C) "Each child has a 50% chance of having sickle cell disease."
D) "Each child has a 50% chance of not having the trait."

Question 9

A child with sickle cell anemia is admitted to the pediatric unit for erythrocytapheresis. The nursing plan of care should include preparing for which of the following treatments?

A) Red blood cell exchange
B) Platelet transfusion
C) Chelation therapy
D) Splenectomy

Question 10

The nursing history indicates that a patient with sickle cell disease (SCD) has had numerous blood transfusions in the last three months. When assessing the patient, the nurse should be alert for which condition?

A) Hypovolemia
B) Iron overload
C) Hypoxia
D) Vaso-occlusion

Question 11

The nurse caring for a patient with anemia of chronic disease (ACD) would expect which of the following laboratory results?

A) Increased serum iron level
B) Reduced serum ferritin levels
C) Hypochromic red blood cells
D) Reduced transferrin saturation

Question 12

Which of the following statements made by a patient with polycythemia indicates an understanding of the disease?

A) "I have thin blood that will not clot."
B) "I may need blood transfusions"
C) "I have an overproduction of red cells from my bone marrow."
D) "I have elevated iron levels."

Question 13

Which nursing intervention should be included in the plan of care for a patient with polycythemia vera?

A) Explain the process of blood transfusion to the patient.
B) Administer anticoagulants.
C) Place the patient on a fluid restriction.
D) Assess for hypotension.

Question 14

During physical examination of a patient with sickle cell disease in a vaso-occlusive crisis, the nurse would be most likely to assess which hallmark finding?

A) Pale extremities
B) Dark urine
C) Jaundice
D) Acute pain

Question 15

The nurse is teaching health promotion and maintenance to a patient with aplastic anemia. Which action by the patient should be a priority?

A) Avoiding crowds during flu season
B) Eating foods high in iron
C) Lowering levels of stress
D) Using a safety razor

Question 16

The effectiveness of erythropoietin therapy in the patient with renal disease can be confirmed by which laboratory finding?

A) Neutrophils 40-60%
B) Leukocyte 6,000/mm³
C) Platelets 50,000/mm³
D) Erythrocytes 4.4 million/mm³

Question 17

During the admission history of a patient with myelodysplastic syndrome, the nurse should question the patient about exposure to:

A) radiation.
B) tuberculosis.
C) Lyme disease.
D) asbestos.

Question 18

Which of the following should be included in the teaching plan for a child with sickle cell anemia?

A) Encourage sedentary activity.
B) Encourage vigorous activity at higher altitudes.
C) Avoid activities in which falls may occur.
D) Encourage intake of plenty of fluids.

Question 19

Which assessment data indicates to the nurse that a patient has a chronic iron deficiency?

A) A gradual increase in hematocrit
B) A gradual increase in hemoglobin
C) Microcytic, hypochromic red blood cells
D) Macrocytic, normochromic red blood cells

Question 20

Which response by the nurse is best when the mother states that she gives her 10-month-old baby 45 mg/day of iron?

A) "Let's talk about safe levels of iron intake for a 10- month-old."
B) "Lots of iron is important for your growing infant."
C) "Iron supplements are important as babies are weaned from breastmilk."
D) "Babies need more iron as they begin to crawl."