Deck 30: Nursing Assessment: Hematologic System

Question 1

A patient has had a splenectomy to control bleeding from a lacerated spleen following an automobile accident. The nurse will teach the patient about the increased risk for

A) lymphedema.
B) infection.
C) prolonged bleeding.
D) chronic anemia.

Answer 1

infection.

Question 2

When caring for a patient who is receiving heparin, the nurse will monitor

A) thrombin time.
B) normalized ratio (INR).
C) fibrin split products.
D) partial thromboplastin time (PTT).

Answer 2

partial thromboplastin time (PTT).

Question 3

The nurse will document information about the individual's intake of alcohol in the

A) health-perception-health management pattern.
B) nutritional-metabolic pattern.
C) self-perception-self-concept pattern.
D) role-relationship pattern.

Answer 3

health-perception-health management pattern.

Question 4

During physical assessment of a patient, the nurse suspects a chronic, severe iron-deficiency anemia on finding

A) yellow-tinged sclerae.
B) gum bleeding and tenderness.
C) shiny, smooth tongue.
D) numbness of the extremities.

Question 5

When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular volume (MCV) indicates

A) small size of the red blood cells (RBCs).
B) inadequate numbers of RBCs.
C) low hemoglobin in the RBCs.
D) hypochromic RBCs.

Question 6

The health care provider performs a bone marrow aspiration from the posterior iliac crest on a patient with pancytopenia. Following the procedure, the nurse should

A) use half-inch sterile gauze to pack the wound.
B) administer an analgesic to control pain at the site.
C) apply pressure over the site for 5 to 10 minutes.
D) elevate the head of the bed to 30 degrees.

Question 7

Following a motor-vehicle accident, a patient is scheduled for an ultrasound of the spleen. Which patient education will be included in the teaching plan?

A) "You will need to avoid eating or drinking anything for 6 hours before the exam."
B) "An intravenous line will be started to administer fluids and medications during the exam."
C) "A lubricated probe will be moved across your abdomen to check for any spleen injuries."
D) "Iodine-based solution will be injected to help visualize the borders of your spleen."

Question 8

While obtaining a health history from a patient with numerous petechiae on the skin, the nurse asks the patient specifically about the patient's use of

A) anticonvulsants.
B) oral contraceptives.
C) aspirin medications.
D) antihypertensives.

Question 9

While examining the lymph nodes during physical assessment, the nurse would be most concerned about

A) firm inguinal nodes in a patient with an infected foot.
B) inability to palpate any superficial lymph nodes.
C) 1-cm mobile and nontender axillary node.
D) 2-cm nonpainful supraclavicular node.

Question 10

In the patient who has had an intraoperative hemorrhage, the nurse would expect to find hematology results of

A) hematocrit of 45%.
B) elevated reticulocyte count.
C) decreased WBC count.
D) hemoglobin 13.2 g/dl.

Question 11

When reviewing the CBC for a patient admitted with an elevated temperature and flank pain, which information will be most important for the nurse to communicate to the health care provider?

A) Neutrophils 85%
B) Hemoglobin 11.6 g/dl
C) Monocytes 4%
D) Platelets 145,000/ml

Question 12

A confused patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests. The nurse should contact the patient's family member to sign a consent form before the

A) complete blood count (CBC).
B) abdominal ultrasound.
C) ABO blood typing.
D) bone marrow biopsy.

Question 13

The history and physical for a newly admitted patient states that the CBC shows a "shift to the left." The nurse will plan to monitor the patient for

A) elevated temperature.
B) low oxygen saturation.
C) pallor and weakness.
D) cool extremities.

Question 14

The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about

A) WBC 3500/ml.
B) hemoglobin 11.8 g/dl.
C) platelets 400,000/ml.
D) hematocrit 37%.

Question 15

A patient is found to have leukopenia, anemia, and thrombocytopenia. During the health history, the nurse asks about the patient's possible exposure to toxic agents when assessing the patient's

A) self-perception-self-concept pattern.
B) role-relationship pattern.
C) sexuality-reproductive pattern.
D) health promotion-health management pattern.