Nur 235: Cardiology- Acute Care Nursing
(Final Review) Questions And Answers
With Verified Solutions 100% Correct!!!
A client is admitted as sickle cell crisis with symptoms of dyspnea and leg pain.
The client's significant other says, "I don't really understand why he is hurting so
badly." Which response by the nurse is best? - ANSWER✔✔ - Clumping of
abnormal RBCs blocks blood flow through the capillaries.
The nurse is teaching a client with sickle cell anemia how to prevent crisis. Which
foods should the nurse teach the client to avoid - ANSWER✔✔ - Alcoholic
beverages
The nurse is determining the effectiveness of treatment prescribed for a client with
anemia. Which question should the nurse use to make this evaluation? -
ANSWER✔✔ Are you keeping up with your work schedule?"
The nurse is assessing a client diagnosed with chronic leukemia. Which should the
nurse focus on? (select all that apply) - ANSWER✔✔ - Fatigue
- Infection
- Social isolation
A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis.
Which intervention would be appropriate for this client? (select all that apply) -
ANSWER✔✔ - Administering oxygen
- Managing pain
- Encouraging rest
,A client hospitalized with sickle cell frequently asks for opioid pain medications
often shortly after receiving a dose. The nurse on the unit believes the client is drug
seeking. When the client requests pain medication, what action by the nurse is
best? - ANSWER✔✔ Give the client pain medication if it is time for another dose
A client is having diagnostic tests to determine the cause of anemia. The nurse
realizes that the test will focus on: (select all that apply) - ANSWER✔✔ -
Disorders that cause RBC destruction
- Disorders that reduce production of RBCs
- Presence of bleeding
The nurse at the hematology clinic is working with clients who have polycythemia
vera. Which client should the nurse see first? - ANSWER✔✔ - Client who reports
SOB
A nursing student is caring for a client with leukemia. The nurse asked why the
client is still at risk for infection when client's WBC is high. What response by the
nurse is best? - ANSWER✔✔ - While there is an increase in WBCs, they are
abnormal cells and won't provide protection
A client has been admitted after sustaining a humerus fracture that occurs when
picking up the family cat. What test result would the nurse correlate to this
condition - ANSWER✔✔ - Bence Jones protein in the urine
A client with thrombocytopenic purpura has had a splenectomy and returned to the
surgical unit from the med-surg floor a few minutes ago. The nurse assesses the
client and finds the abdominal dressing saturated with blood. What is the priority
action of the nurse? - ANSWER✔✔ - Take a set of vital signs and notify the
surgeon
, A client has thrombocytopenia. Which client statement indicates that the client
understands self-management of this condition? - ANSWER✔✔ - "I usually put
ice on bumps and bruises."
A nurse is caring for 4 clients with leukemia. After hand-off report, which client
should the nurse see first - ANSWER✔✔ - The client who has 2 bloody diarrhea
stools this morning
A client's health record states that they have regular infusions of factor 9. The
nurse would justify and suspect that this client has what diagnosis? -
ANSWER✔✔ Hemophilia
A nurse working with clients with sickle cell teaches about self-management to
prevent exacerbation of sickle cell crisis. What factors should clients be taught to
avoid? - ANSWER✔✔
A client who had a splenectomy 2 days ago complains of malaise. The nurse
checks the client's temperature and finds it at 102*F. What action by the nurse
should take priority? - ANSWER✔✔ Notify the physician
A client who is taking warfarin (coumadin) 5mg daily has an international
normalized ratio (INR) of 2.5. It is time to administer the next dose of coumadin.
What should the nurse do? - ANSWER✔✔ Administer as ordered (therapeutic
INR for pt on coumadin is 2-3)
A nurse is assisting with d***** on a newly admitted client with a history of
hemophilia. Which assessment finding indicates that the client has experienced
several episodes of bleeding in the past? - ANSWER✔✔ Joint deformities (pts
with hemophilia bleed into joints)
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