NUR 216 EXAM #2
A patient with anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient's laboratory findings to include:
A) normal red blood cell (RBC) indices - Answer- D) a hemoglobin (HB) of 8.6 g/L
Which menu choice indicates that ...
NUR 216 EXAM #2
A patient with anemia is experiencing increased fatigue and occasional palpitations
at rest. The nurse would expect the patient's laboratory findings to include:
A) normal red blood cell (RBC) indices - Answer- D) a hemoglobin (HB) of 8.6 g/L
Which menu choice indicates that the patient understands the nurse's teaching about
best dietary choices for iron-deficiency anemia? - Answer- B) Omelet and whole
wheat toast
A patient who is receiving methotrexate develops a megaloblastic anemia. The nurse
will anticipate teaching the patient about increasing oral intake of - Answer- C) folic
acid
A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the
patient about pernicious anemia, the nurse determines that the patient understands
the disorder when the patient states - Answer- ?? I would rather use the nasal spray
than have to get injections of vitamin B12
A patient is hospitalized for treatment of severe hemolytic anemia. An appropriate
nursing action for the patient is to - Answer- alternate periods of rest and activity
After the nurse has finished teaching a patient about taking oral ferrous sulfate,
which patient statement indicates that additional instruction is needed? - Answer- ??
I will call the doctor if my stools start to turn black
A patient is admitted to the hospital with idiopathic aplastic anemia. Which of these
collaborative problems will the nurse include when developing the care plan? -
Answer- Potential complication: infection
A patient is admitted to the hospital with a sickle cell crisis. While caring for the
patient during the crisis, it is important for the nurse to - Answer- evaluate the
effectiveness of opioid analgesics
Which statement by a patient with sickle cell anemia indicates good understanding of
the nurse's teaching about prevention of sickle cell crisis? - Answer- "risk for a crisis
can be lowered by having an annual influenza vaccination
When planning discharge teaching for the patient who was admitted with a sickle cell
crisis, which instruction will the nurse include? - Answer- Avoid exposure to crowds
as much as possible
During the admission assessment of a patient with hemolytic anemia, the nurse
notes jaundice of the sclerae. The nurse will plan to check the laboratory results for -
Answer- the bilirubin level
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). Which action will the nurse include in the plan of care? - Answer- Flush all
intermittent IV lines using normal saline
During treatment of the patient with an acute exacerbation of polycythemia vera, a
critical action by the nurse is to - Answer- monitor fluid intake and output
Which nursing intervention will be included in the care plan for a patient with immune
thrombocytopenic purpura (ITP)? - Answer- ??Avoid intramuscular (IM) injections
Which laboratory information will the nurse monitor to detect heparin-induced
thrombocytopenia (HIT) in a patient who is receiving a continuous heparin infusion? -
Answer- Activated partial thromboplastin time
A patient with type A hemophilia has been admitted to the hospital with severe pain
and swelling in the right knee. During the initial care of the patient, the nurse should -
Answer- Immobilize the knee
A patient with von Willebrand disease is admitted to the hospital for minor knee
surgery. The nurse will review the coagulation survey to check the - Answer-
Bleeding time
A routine complete blood count indicates that a patient may have myelodysplastic
syndrome. At this time, the nurse will plan to teach the patient about - Answer- Bone
marrow biopsy
Which action will be included in the care plan for a hospitalized patient who is
neutropenic? - Answer- ??check the oral temperature every 4 hours
Which laboratory test will the nurse use to determine whether the prescribed
filgrastim (Neupogen) is effective in the treatment of a patient who is receiving
chemotherapy for acute lymphocytic leukemia? - Answer- Absolute neutrophil count
A 64-year-old with acute myelogenous leukemia (AML) who has induction therapy
prescribed asks the nurse whether the planned chemotherapy will be worth
undergoing. Which response by the nurse is appropriate? - Answer- "The side
effects of the chemotherapy are difficult, but AML frequently does go into remission
with chemotherapy."
A patient who has a history of a transfusion-related acute lung injury (TRALI) is to
receive a transfusion of packed red blood cells (PRBCs). Which action will the nurse
take to decrease the risk for TRALI for this patient? - Answer- Transfuse only
leukocyte-reduced PRBCs.
A 45-year-old patient with acute myelogenous leukemia (AML) is considering the
possibility of treatment with a hematopoietic stem cell transplant (HSCT). To assist
the patient with treatment decisions, the best approach for the nurse to use is to -
Answer- ask the patient whether there are any questions or concerns about HSCT.
Which nursing action will be included in the plan of care for a patient admitted with
multiple myeloma? - Answer- Monitor fluid intake and output
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 Freshy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
