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Hematologic Problems Chapter 34 Exam Questions And 100% Correct Answers (A+ Graded)
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Hematologic Problems Chapter 34 Exam Questions And100% Correct Answers (A+ Graded)
A 62-year old man with chronic anemia is experiencing increased fatigue and
occasional palpitations at rest. The nurse would expect the patient's laboratory test
findings to include
a. an RBC count of 4,500,000/mL.
b. a hematocrit (Hct) value of 38%.
c. a normal red blood cell (RBC) indices.
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
ANS: D. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
The patient's clinical manifestations reflect moderate anemia, which corresponds to a
Hgb of 6 to 10 g/dL. The other values are all within the range of normal.
Which menu choice reflects that the patient has understood the nurse's teaching about
recommended dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
c. Strawberry and banana fruit plate
b. Cantaloupe and cottage cheese
d. Cornmeal muffin and orange juice
ANS: A. Omelet and whole wheat toast
Eggs and whole grain breads are good sources of iron. The other options may be
appropriate for different nutritional deficits but are not the best selection for a client
diagnosed with iron-deficiency anemia.
We have an expert-written solution to this problem!
,A client is receiving methotrexate for severe rheumatoid arthritis and develops a
megaloblastic anemia. The nurse will teach the client to increase oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
ANS: B. folic acid.
Methotrexate therapy is associated with folic acid deficiency. Oral folic acid
supplements are usually prescribed to treat the deficiency. The other nutrients would
not correct folic acid deficiency although they would be used to treat different causes of
anemia.
A 52-yr-old client has a new diagnosis of pernicious anemia. The nurse evaluates that
the client has understood the teaching regarding the disease when the client says,
a. "I need to start eating more red meat and liver."
b. "I will stop having a glass of wine with dinner."
c. "I could choose nasal spray rather than injections of vitamin B12."
d. "I will need to take a proton pump inhibitor such as omeprazole (Prilosec)."
ANS: C. "I could choose nasal spray rather than injections of vitamin B12."
Because pernicious anemia prohibits the absorption of vitamin B12, this patient must
receive injections or intranasal doses of cobalamin. Alcohol consumption does not lead
to a deficiency in cobalamin. Proton pump inhibitors reduce the absorption of vitamin
B12. Increasing dietary sources of vitamin B12 would be of no benefit because the
absence of intrinsic factor inhibits the absorption of the vitamin.
An appropriate nursing intervention for a hospitalized patient with severe hemolytic
anemia is to
a. provide a diet high in vitamin K.
, b. alternate periods of rest and activity.
c. teach the patient how to avoid injury.
d. place the patient on protective isolation.
ANS: B. alternate periods of rest and activity.
Nursing care for the patient with anemia should provide alternating periods of rest and
activity to encourage activity without creating undue fatigue. There is no indication this
patient has a bleeding disorder, so a diet high in vitamin K or teaching about the
avoidance of injury is not necessary. Protective isolation may be used for a patient with
aplastic anemia but is not indicated for hemolytic anemia.
We have a professional solution for this problem!
Which patient statement to the nurse indicates a need for further teaching related to
taking oral ferrous sulfate?
a. "I will notify my health care provider if my stools become black."
b. "I will take a stool softener if I find I am constipated at times."
c. "I should take the iron with orange juice about an hour before eating."
d. "I should increase my fluid and fiber intake while I am taking iron tablets."
ANS: A. "I will call my health care provider if my stools turn black."
It is normal for the stools to appear black when a patient is taking iron, and the patient
should not call the health care provider about this. The other patient statements are
correct.
We have an expert-written solution to this problem!
Which collaborative problem should the nurse include in a care plan for a patient
admitted to the hospital with idiopathic aplastic anemia?
a. Potential complication: seizures
b. Potential complication: infection
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