Question 1

A patient with disseminated intravascular coagulation is not responding to infusions of fresh-frozen plasma and platelets. Which of the following interventions might be indicated for this patient?  Select all that apply.

Accepted Answer

Heparin, either through injections or infusion, can be indicated in certain cases of disseminated intravascular coagulation (DIC) where the underlying cause is thought to be excessive clotting. Heparin helps to inhibit further clot formation, potentially stabilizing the patient's condition.

Question 2

The patient is experiencing acute blood loss after a motor vehicle accident and has been taken to the emergency department. Draw an arrow to the organ in the patient's body that will constrict to allow for increased blood volume. [Insert MSE 11-1, remove labels and lines]

Accepted Answer

The answer of The patient is experiencing acute blood loss...

Question 3

A patient who is undergoing chemotherapy for lymphoma says, "I thought I was ugly before this all started. Now I know for sure I'm disgusting to look at." Which of the following is this patient most at risk for developing related to her comments?

Accepted Answer

The patient's statement suggests that she is experiencing a negative change in her body image perception, which is a common psychological side effect of cancer treatment. The patient may benefit from supportive care to address this issue. The other options (B, C, and D) are not supported by the given statement.

Question 4

The nurse is reviewing information about the patient who was admitted to the hospital three days ago with urosepsis. The nurse reviews the information regarding recent assessments and diagnostic testing that have been completed. Which of the following physician orders would be expected? $$\begin{array} { | l | l | } 
\hline \text { Diagnostic Tests and Assessment } & \text { Results } \
\hline \text { Apical pulse } & 132 \mathrm { bpm } \
\hline \text { Respirations } & 26 \text { per minute } \
\hline \text { Blood pressure } & 88 / 46 \
\hline \text { Level of Consciousness } & \text { Obtunded } \
\hline \text { Urinary output } & \begin{array} { l } 
25 \mathrm {~mL} \text { of cherry-colored urine produced in } \
\text { Foley catheter drainage bag during the last } \
\text { two hours }
\end{array} \
\hline \text { Assessment of respiratory system } & \begin{array} { l } 
\text { New moist cough with expectoration of } \
\text { bloody sputum, complaints of dyspnea }
\end{array} \
\hline \text { Assessment of cardiovascular system } & \begin{array} { l } 
\text { Cool, dry extremities with thready } \
\text { peripheral pulses }
\end{array} \
\hline
\end{array}$$

Accepted Answer

Urosepsis is a serious infection that can cause sepsis, which is a life-threatening condition that occurs when the body's response to infection causes injury to its own tissues and organs. Oxygen saturation levels may be affected in patients with sepsis, and administering oxygen can help maintain adequate oxygen levels and improve outcomes. Ambulating the patient, applying hot compresses, and consulting physical therapy may be appropriate interventions for other conditions, but are not specific to urosepsis.

Question 5

The patient has been included in a study along with other 369 other patients who have all been diagnosed with extranodal marginal zone lymphoma, a subtype of non-Hodgkin's lymphoma. Based on research regarding this condition, what is the expected number of people included in this study who will still be alive in five years? Round your answer to the nearest whole number. ______

Accepted Answer

The answer of The patient has been included in a...

Question 6

A patient with hemophilia is admitted with acute bleeding. Until the cause of the bleeding is determined, the nurse should be prepared to do which of the following interventions?

Accepted Answer

Patients with hemophilia have deficiency or dysfunction of clotting factors, and fresh-frozen plasma contains these clotting factors and is used to manage bleeding episodes in these patients. Infusing packed red blood cells, normal saline, or heparin will not address the underlying clotting disorder.

Question 7

A patient who is being treated for malignant lymphoma is experiencing pruritis. Which of the following interventions would be appropriate for this patient?  Select all that apply.

Accepted Answer

Pruritis, or itching, is a common side effect of cancer and its treatment. Bathing with cool water can help soothe the skin, while avoiding hot water and harsh soaps. It is also important to keep bedding and clothing clean with mild detergent and a second rinse cycle to reduce irritants. Rubbing the skin vigorously or using scented body lotions can further irritate the skin and should be avoided. Additionally, keeping the room temperature above normal can cause dry air and further exacerbate itching.

Question 8

The patient has been experiencing manifestations associated with pernicious anemia because of an inability to make an adequate amount of intrinsic factor. Draw an arrow indicating the organ that is malfunctioning.

Accepted Answer

The answer of The patient has been experiencing manifestations associated...

Question 9

A college-age patient who is in the hospital for Hodgkin's disease treatment is visited by friends who bring a pizza and cola to the patient's room. Which of the following can the nurse do to ensure the patient's comfort?

Accepted Answer

The nurse should provide the patient with an antiemetic to prevent nausea and vomiting, as well as suggest something else for the patient to eat with the visitors. This ensures the patient's comfort and prevents potential complications from consuming food that may not be tolerated due to their treatment. Asking the visitors to leave or eat in the lounge may not be necessary if the patient is comfortable with their presence and the nurse can find a solution to the food situation. Encouraging the patient to eat as much pizza as possible may not be appropriate if the patient is experiencing nausea, vomiting, or other side effects.

Question 10

The patient was recently diagnosed with Hodgkin's disease. The nurse provided education for the patient and the patient's spouse. Which of the following statements made by the patient indicate the need for further education?  Select all that apply.

Accepted Answer

The answer of The patient was recently diagnosed with Hodgkin's...

Question 11

The patient has developed folic acid deficiency anemia. The nurse notes that the patient weighed 52.72 kilograms one year ago and weighs 44.23 kilograms today. Calculate the patient's weight loss in pounds. Round to the tenths place. _______

Accepted Answer

The answer of The patient has developed folic acid deficiency...

Question 12

A patient is diagnosed with stage II A Hodgkin's lymphoma. The nurse interprets this information to mean that the extent of this disorder is limited to which of the following?

Accepted Answer

Stage II A Hodgkin's lymphoma is limited to two or more lymph nodes on the same side without systemic symptoms.

Question 13

The nurse is reviewing the patient's the results from recent diagnostic tests and an assessment. Based on the information included in the chart above, which of the following would be consistent with the most likely diagnosis? $$\begin{array} { | l | l | } 
\hline \text { Diagnostic Tests and Assessment } & \text { Results } \
\hline \text { Apical pulse } & 122 \mathrm { bpm } , \text { soft murmur auscultated } \
\hline \text { Respirations } & 26 \text { per minute } \
\hline \text { Blood pressure } & 92 / 54 \
\hline \text { Level of Consciousness } & \text { Confused and lethargic } \
\hline \text { Red blood cells } & 3.3 \times 10 ^ { 6 } / \mathrm { mm } ^ { 3 } \
\hline
\end{array}$$

Accepted Answer

The patient's vital signs and assessment findings are consistent with hypovolemic shock, which can be caused by a high-speed motorcycle accident.

Question 14

The patient has developed multiple ecchymoses and there is the presence of occult blood in the patient's stool. The patient's factor assays are assessed and factor VIII is found to be decreased. Based on the nurse's understanding of hematoligic disorders, which of the following are commonly associated with this patient's condition? Select all that apply.  Select all that apply.

Accepted Answer

The answer of The patient has developed multiple ecchymoses and...

Question 15

A patient with idiopathic thrombocytopenia purpura continues to experience symptoms of the disease after completing several courses of prednisone (Meticorten) therapy. The nurse anticipates that which of the following will most likely be indicated for this patient?

Accepted Answer

If prednisone therapy has failed, splenectomy may be considered as the next step in treatment for idiopathic thrombocytopenia purpura (ITP). The spleen is a site where platelets are destroyed, and removing the spleen helps to increase platelet counts. Life-long prednisone therapy is not a preferred option due to the risk of long-term side effects. Aspirin therapy may worsen bleeding in patients with low platelet counts. Weekly platelet transfusions are not a sustainable long-term solution and may increase the risk of infection and transfusion reactions.

Quiz 33: Nursing Care of Patients with Hematologic Disorders

A patient with disseminated intravascular coagulation is not responding to infusions of fresh-frozen plasma and platelets. Which of the following interventions might be indicated for this patient? Select all that apply.