Deck 29: Hematological Dysfunction: Nursing Management

Question 1

The mother of a newborn is concerned since the baby is jaundiced. The nurse realizes that the infant should be assessed for which of the following anemias?

A) Glucose-6-phosphate dehydrogenase (G6PD)
B) Hereditary spherocytosis
C) Sickle-cell anemia
D) Thalassemia

Answer 1

Hereditary spherocytosis

Question 2

A client is diagnosed with alpha- and beta- defect thalassemia. The nurse realizes that this disease is common within which of the following cultural groups?

A) Persons from China
B) People of Mediterranean ancestry
C) African Americans
D) Persons from the Philippines

Answer 2

African Americans

Question 3

A client diagnosed with sickle-cell anemia is experiencing vaso-occlusive crisis. Which of the following interventions would be appropriate for this client? (Select all that apply.)

A) Administering oxygen
B) Decreasing hydration
C) Managing pain
D) Promoting activity
E) Encouraging rest
F) Restricting calories

Answer 3

Administering oxygen
Managing pain
Encouraging rest

Question 4

A client is diagnosed with emphysema. For which of the following hematologic disorders should the nurse include in the assessment of this client?

A) Hemolytic anemia
B) Disseminated intravascular coagulation
C) Polycythemia
D) Hemophilia

Question 5

The nurse is encouraging a client diagnosed with chronic leukemia to join a support group. Which of the following would a support group address?

A) Fatigue
B) Infection
C) Anxiety
D) Social isolation

Question 6

A client is receiving treatment for the diagnosis of hemophilia. Which of the following should the nurse assess in this client?

A) Appetite
B) Urine output
C) Muscle and joint pain
D) Respiratory rate

Question 7

A client tells the nurse that he is anemic because of a "poor diet." Which deficiencies cause nutritional anemias? (Select all that apply.)

A) Iron deficiency
B) Folic acid deficiency
C) Vitamin C deficiency
D) Vitamin D deficiency
E) Vitamin A deficiency
F) Vitamin B-12 deficiency

Question 8

Which of the following should the nurse instruct a client who is receiving treatment for the diagnosis of leukemia? (Select all that apply.)

A) See a dentist regularly.
B) Increase fluids.
C) Report any fatigue to the physician.
D) Expect to have frequent coughs and colds.
E) Use a sunblock when outdoors.
F) Report gastrointestinal distress to the physician.

Question 9

The nurse should assess a client diagnosed with multiple myeloma for which of the following electrolyte imbalances?

A) Hypercalcemia
B) Hyperkalemia
C) Hypermagnesemia
D) Hypernatremia

Question 10

A client diagnosed with chronic disseminated intravascular coagulation is prescribed heparin. The nurse realizes that this medication is used to:

A) increase blood flow to the circulation.
B) increase blood clot formation.
C) decrease blood flow in the circulation.
D) decrease blood clot formation.

Question 11

A client diagnosed with acute myeloid leukemia is recovering from a bone marrow transplant. Which of the following nursing interventions would not be appropriate for this client?

A) Assess for reactions to anesthesia.
B) Assess vital signs.
C) Maintain isolation precautions.
D) Obtain a low-pressure mattress to prevent skin breakdown.

Question 12

A client is diagnosed with disseminated low-grade non-Hodgkin's lymphoma. Which of the following treatments would be indicated for this client?

A) Administration of CHOP
B) Radiation therapy
C) Bone marrow transplant
D) Watch and wait

Question 13

A client is diagnosed with anemia. The nurse realizes that which of the following could be the treatment for this client's disorder?

A) Erythropoietin therapy
B) Leukemia
C) Poor nutrition
D) Trauma

Question 14

A client, diagnosed with acute lymphoblastic leukemia, is receiving the first phase of chemotherapy. The nurse realizes this client is in which phase of treatment for the disorder?

A) Induction
B) Consolidation
C) Maintenance
D) Central nervous system prophylaxis

Question 15

A client is having diagnostic tests to determine the cause of anemia. The nurse realizes that these tests will focus on which of the following? (Select all that apply.)

A) Presence of bleeding
B) Fluid balance
C) Disorders that cause red blood cell destruction
D) Cardiac functioning
E) Disorders that reduce the production of red blood cells
F) Digestion

Question 16

A client is diagnosed with stage II Hodgkin's lymphoma. The nurse realizes that this diagnosis means the disease is:

A) terminal.
B) limited to lymph nodes on the same side of the diaphragm.
C) in the bone marrow.
D) easily treated.

Question 17

A client is diagnosed with G6PD anemia. Which of the following medications should the nurse instruct the client to avoid? (Select all that apply.)

A) Acetaminophen
B) Aspirin
C) Chloroquine
D) Nitrofurantoin
E) Sulfonamides
F) Vitamin K

Question 18

During the health history portion of the assessment, the client states, "I have sickle-cell trait." The nurse realizes that:

A) precautions should be taken to prevent the cell from sickling.
B) the client is a carrier.
C) the client will show signs of the disease as she grows older.
D) the client will transmit the disease to any offspring.