A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patients laboratory findings to include
a hematocrit (Hct) of 38%.
an RBC count of 4,500,000/mL.
normal red blood cell (RBC) indices.
a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
Which menu choice indicates that the patient understands the nurses teaching about best dietary choices for iron-deficiency anemia?
Omelet and whole wheat toast
Cantaloupe and cottage cheese
Strawberry and banana fruit plate
Cornmeal muffin and orange juice
A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
iron.
folic acid.
cobalamin (vitamin B12).
ascorbic acid (vitamin C).
A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse determines that the patient understands the teaching about the disorder when the patient states, I
need to start eating more red meat and liver.
will stop having a glass of wine with dinner.
could choose nasal spray rather than injections of vitamin B12.
will need to take a proton pump inhibitor like omeprazole (Prilosec).
An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
provide a diet high in vitamin K.
alternate periods of rest and activity.
teach the patient how to avoid injury.
place the patient on protective isolation.
Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
I will call my health care provider if my stools turn black.
I will take a stool softener if I feel constipated occasionally.
I should take the iron with orange juice about an hour before eating.
I should increase my fluid and fiber intake while I am taking iron tablets.
Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
Potential complication: seizures
Potential complication: infection
Potential complication: neurogenic shock
Potential complication: pulmonary edema
The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse will plan to check the laboratory results for the
Schilling test.
bilirubin level.
stool occult blood level.
gastric analysis testing.
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT) when her platelet level drops to 110,000/L. Which action will the nurse include in the plan of care?
Use low-molecular-weight heparin (LMWH) only.
Administer the warfarin (Coumadin) at the scheduled time.
Teach the patient about the purpose of platelet transfusions.
Discontinue heparin and flush intermittent IV lines using normal saline.
A critical action by the nurse caring for a patient with an acute exacerbation of polycythemia vera is to
place the patient on bed rest.
administer iron supplements.
avoid use of aspirin products.
monitor fluid intake and output.
Which laboratory result will the nurse expect to show a decreased value if a patient develops heparin-induced thrombocytopenia (HIT)?
Prothrombin time
Erythrocyte count
Fibrinogen degradation products
Activated partial thromboplastin time
Which action will be admitting nurse include in the care plan for a 30-year-old woman who is neutropenic?
Avoid any injections.
Check temperature every 4 hours.
Omit fruits or vegetables from the diet.
Place a No Visitors sign on the door.
A 68-year-old woman with acute myelogenous leukemia asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?
If you do not want to have chemotherapy, other treatment options include stem cell transplantation.
The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy.
The decision about treatment is one that you and the doctor need to make rather than asking what I would do.
You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly.
A 54-year-old woman with acute myelogenous leukemia is considering treatment with a hematopoietic stem transplant. The best approach for the nurse to assist the patient with a treatment decision is to
emphasize the positive outcomes of a bone marrow transplant.
discuss the need for adequate insurance to cover post-HSCT care.
ask the patient whether there are any questions or concerns about HSCT.
explain that a cure is not possible with any other treatment except HSCT.
Which action will the nurse include in the plan of care for a 72-year-old woman with multiple myeloma?
Monitor fluid intake and output.
Administer calcium supplements.
Assess lymph nodes for enlargement.
Limit weight bearing and ambulation.
