A 78-year-old client comes to the health clinic presenting with fatigue, and laboratory results indicate a hematocrit of 32% (0.32) and hemoglobin of 10.5 g/dL (105 mmol/L). Which action would the nurse take next?
1-Conduct a complete nutritional assessment of the client.
2-Plan to teach the cl...
Hematology/Pain EAQ 50 Quiz
Questions Correctly Solved
A 78-year-old client comes to the health clinic presenting with fatigue, and laboratory results indicate a
hematocrit of 32% (0.32) and hemoglobin of 10.5 g/dL (105 mmol/L). Which action would the nurse take
next?
1-Conduct a complete nutritional assessment of the client.
2-Plan to teach the client about taking daily iron supplements.
3-Schedule the client to return to have the test repeated in 3 months.
4-Explain that mild anemia is an expected response to the aging process. - ✔ ✔ 1-Conduct a
complete nutritional assessment of the client.
A nutritional assessment starts the investigation for a cause of the client's anemia. Although anemia
may be caused by iron deficiency, more assessments and testing are needed to establish the etiology of
anemia for this client. The client may need to have results repeated in about 3 months, but this will
depend on the etiology of the anemia and the treatments that are prescribed. Although mild anemia
may occur with aging because of chronic illness, anemia is not considered to be part of the normal aging
process and normal hemoglobin and hematocrit values do not change with aging.
A 9-month-old infant with iron-deficiency anemia has been getting supplements but shows no
improvement. The nurse recognizes which action by the parents as the reason for the lack of
improvement?
1-Administering iron supplements through a straw
2-Administering iron supplements with whole cow's milk
3-Administering iron supplements along with orange juice
4-Administering iron supplements at the back of the mouth - ✔ ✔ 2-Administering iron supplements
with whole cow's milk
,Whole cow's milk binds with free iron and reduces medication absorption. The infant has developed
medication insufficiency for maximum therapeutic action. Administering iron supplements through a
straw does not reduce medication absorption; it prevents the iron from staining the infant's teeth.
Orange juice increases the absorption of iron supplements. Administering iron supplements at the back
of the mouth does not reduce medication absorption; it prevents the iron from staining the infant's
teeth.
A child is experiencing pain after abdominal surgery and is given an opioid analgesic. Which statement is
correct regarding children in pain and their response to opioid analgesics when they are prescribed?
1-Addiction to opioids is more of a risk for children than adults.
2-Analgesics are not needed as frequently because pain is not as strongly felt by children as it is by
adults.
3-Even though children do not like taking medicines, analgesics will make them more comfortable.
4-Children do not need analgesics because they are easily distracted and will quickly return to play or
sleep. - ✔ ✔ 3-Even though children do not like taking medicines, analgesics will make them more
comfortable.
Children are as much in need of analgesics for relief of pain as adults are. It is an unsound belief that
children are more prone to opioid addiction than adults are. It is a myth that children do not feel pain as
strongly as adults; it is difficult for children to communicate pain. Playing or trying to sleep may be the
child's way of coping with pain; however, the fact that the child engages in these behaviors is not a
reason to withhold an analgesic.
A client has a tentative diagnosis of Hodgkin disease. How would the nurse expect the diagnosis to be
confirmed?
, The diagnosis depends on the identification of characteristic histological features of an excised lymph
node. A bone scan is a diagnostic device to assess bony metastasis of cancers. CT scans identify the
extent of the disease in the abdominal and thoracic cavities. The 131I uptake study is not indicated for
Hodgkin disease; it is used for radiotherapy or diagnosis of thyroid diseases.
A client is prescribed 4 mg of hydromorphone intravenously (IV) every 4 hours, as needed.
Hydromorphone is supplied at 10 mg/mL. How many milliliters of hydromorphone will the nurse
administer per dose? Record your answer using one decimal place and leading zero if applicable. ___ mL
- ✔ ✔ 0.4
A client is receiving patient-controlled analgesia (PCA) after surgery. Which benefit would this type of
therapy provide? Select all that apply. One, some, or all responses may be correct.
1-The client is able to self-administer pain-relieving medications as necessary
2-The amount of medication received is determined entirely by the client
3-Decreases client dependency
4-Relieves the nurse of monitoring the client
5-Increases client's sense of autonomy - ✔ ✔ 1-The client is able to self-administer pain-relieving
medications as necessary
3-Decreases client dependency
5-Increases client's sense of autonomy
The purpose of patient-controlled analgesia is to give the client the ability to self-administer pain-
relieving medications as necessary; usually smaller amounts of analgesics are used with self-
administration. The amount and dosage of the medication are programmed to prevent accidents or
abuse. Medication levels are kept in a maintenance range, and pain relief is achieved without extreme
fluctuations. The client isn't dependent on the nurse availability to administer medication. This increases
the client's sense of autonomy. The nurse is not absolved of responsibility when PCA is used; monitoring
the client for effectiveness, refilling the apparatus with the prescribed narcotic, and charting the amount
administered and the client's response are required.
A client is to receive a transfusion of packed red blood cells (PRBCs). Which solution would the nurse use
to prime the blood intravenous (IV) tubing?
1-Lactated Ringer solution
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jackline98. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
