Deck 27: Hematological and Lymphatic System Function, Assessment, and Therapeutic Measures

Question 1

The nurse is preparing to administer a cyanocobalamin (B₁₂) injection 1,000 mcg IM to a patient with B₁₂ deficiency. Available vials are 1,000 mcg/mL. How many mL will the nurse administer? Enter the numeral only.

Answer 1

1

Question 2

A patient who underwent lymphangiography the day before asks the LPN, "Why does my urine look blue?" What should the LPN respond to this patient's concern?

A)"It is nothing to be concerned about."
B)"I will notify the RN and physician immediately."
C)"This indicates that the procedure found abnormal results."
D)"The dye used in the procedure may cause bluish skin and urine for 2 days."

Answer 2

"The dye used in the procedure may cause bluish skin and urine for 2 days."

Question 3

A patient is being prepared to receive a prescribed blood transfusion. What is the best way that the licensed practical nurse (LPN) can assist the health team to prevent a transfusion reaction?

A)Monitor vital signs every 15 minutes.
B)Warm blood to 98.6°F (37°C) before infusion.
C)Administer diphenhydramine (Benadryl) before the infusion.
D)Assist the registered nurse (RN) to correctly identify the patient and the blood product.

Answer 3

Assist the registered nurse (RN) to correctly identify the patient and the blood product.

Question 4

The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which result would concern the nurse the most?

A)White blood cells (WBCs) 7,400/mm³
B)Hemoglobin 14.5 g/100 mL
C)Platelets 50,000/mm³
D)Red blood cells (RBCs) 5.0 million/mm³

Question 5

The nurse is caring for a patient who underwent a bone marrow biopsy. What is the role of the licensed practical nurse/licensed vocational nurse (LPN/LVN) in this patient's care?

A)Monitor the site for bleeding and infection.
B)Position the patient in high Fowler's position.
C)Anesthetize the area with 1% lidocaine.
D)Obtain consent from the patient.

Question 6

The nurse is preparing to infuse a liter of normal saline over 4 hours IV to a patient who experienced a hemolytic reaction to blood. The drop factor is 15 gtt/mL. Calculate the drip factor. Enter the numeral only. Round to the nearest whole number.

Question 7

The nurse is caring for a patient with a clotting disorder. Which should the nurse plan to administer?

A)PRBCs
B)Platelets
C)Albumin
D)Fresh frozen plasma (FFP)

Question 8

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

A)Liver disease
B)Renal failure
C)Meningitis
D)Asthma

Question 9

The nurse is caring for a group of patients. Which patient should the nurse see first?

A)A patient with a platelet level of 200,000/mm³
B)A patient with a WBC count of 4,500/mm³
C)A patient with a hemoglobin of 13.4 g/100 mL
D)A patient with an RBC count of 2.4 million/mm³

Question 10

A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the patient's vital signs were blood pressure 132/82 mm Hg and pulse 88 beats/min. One hour after the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which assessment is the least important for the patient at this time?

A)Observe the puncture site.
B)Check the patient's most recent CBC report.
C)Ask the patient about feelings of lightheadedness or dizziness.
D)Determine if the patient had any medications before the procedure.

Question 11

The nurse is preparing a patient for a blood transfusion. The patient has type O blood. Which blood type can this patient receive?

A)Type A
B)Type B
C)Type AB
D)Type O

Question 12

The nurse is caring for a patient who received a blood transfusion and experienced a hemolytic reaction. Place in order, from 1 to 5, the steps the nurse should take. ___

A) Administer IV fluid. ___
B) Have a colleague notify the HCP. ___
C) Stop the transfusion. ___
D) Call the blood bank. ___
E) Stay with the patient.

Question 13

The nurse is caring for a patient with anemia. Which clinical manifestations can the nurse expect to document? (Select all that apply.)

A)Moist skin
B)Pallor
C)Elevated respiratory rate
D)Clubbed fingers
E)Fever 6.Petechiae

Question 14

The nurse is caring for a patient with folic acid deficiency anemia. Which patient is at risk for this condition?

A)A patient who smokes occasionally
B)A patient who drinks alcohol daily
C)A patient who is vegan
D)A patient who takes herbal remedies

Question 15

The nurse is caring for a patient who reports feeling several enlarged lymph nodes. The nurse should plan to prepare the patient for which test?

A)A bone marrow biopsy
B)A complete blood count (CBC)
C)Lymphangiography
D)A computerized tomography (CT) scan

Question 16

The patient asks the nurse how much blood is in the body. Which response by the nurse is accurate? 1.1-3 liters

A)4-6 liters
B)7-9 liters
C)10-12 liters

Question 17

While receiving a unit of PRBCs, the patient begins to experience hives around the neck and upper chest. What actions should the nurse perform because of this reaction? (Select all that apply.)

A)Stop the transfusion.
B)Notify the HCP.
C)Return the blood to the blood bank.
D)Administer prescribed antihistamines.
E)Restart the infusion and carefully monitor.

Question 18

The nurse is reviewing laboratory values for a female patient and notes a hemoglobin level of 8.2 g/100 mL and a hematocrit level of 21%. These levels are found in patients with which condition?

A)Acute bronchitis
B)Thyroid disease
C)Anemia
D)Hemochromatosis

Question 19

A patient is prescribed to receive two units of packed red blood cells (PRBCs). What approach should the nurse use to ensure that the correct blood will be provided to this patient?

A)Check the patient's arm band.
B)Check the order on the medical record.
C)Follow the organization's verification process.
D)Assume the correct blood was provided by the blood bank.