Exam (elaborations)
HEME EXAM QUESTIONS AND VERIFIED ANSWERS
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HEME EXAM QUESTIONS AND VERIFIEDANSWERS
A client is diagnosed with anaemia. The nurse realizes that which of the
following could be the treatment for this client's disorder?
1. Erythropoietin therapy
2. Leukemia
3. Poor nutrition
4. Trauma - ANSWER 1. Erythropoietin therapy
A client is diagnosed with alpha- and beta- defect thalassemia. The
nurse realizes that this disease is common within which of the following
cultural groups?
1. Persons from China
2. People of Mediterranean ancestry
3. African Americans
4. Persons from the Philippines - ANSWER 3. African Americans
During the health history portion of the assessment, the client states, I
have sickle-cell trait. The nurse realizes that:
1. precautions should be taken to prevent the cell from sickling.
2. the client is a carrier.
3. the client will show signs of the disease as she grows older.
4. the client will transmit the disease to any offspring. - ANSWER 2. The
client is a carrier.
A client is diagnosed with stage II Hodgkins lymphoma. The nurse
realizes that this diagnosis means the disease is:
1. terminal.
2. limited to lymph nodes on the same side of the diaphragm.
3. in the bone marrow.
4. easily treated. - ANSWER 2. Limited to lymph nodes on the same side
of the diaphragm.
,A client diagnosed with sickle-cell anemia is experiencing vaso-occlusive
crisis. Which of the following interventions would be appropriate for this
client? (Select all that apply.)
1. Administering oxygen
2. Decreasing hydration
3. Managing pain
4. Promoting activity
5. Encouraging rest
6. Restricting calories - ANSWER 1. Administering oxygen
3. Managing pain
5. Encouraging rest
A client is having diagnostic tests to determine the cause of anemia. The
nurse realizes that these tests will focus on which of the following?
(Select all that apply.)
1. Presence of bleeding
2. Fluid balance
3. Disorders that cause red blood cell destruction
4. Cardiac functioning
5. Disorders that reduce the production of red blood cells
6. Digestion - ANSWER 1. Presence of bleeding
3. Disorders that cause red blood cell destruction
5. Disorders that reduce the production of red blood cells
A client tells the nurse that he is anemic because of a poor diet. Which
deficiencies cause nutritional anemias? (Select all that apply.)
1. Iron deficiency
2. Folic acid deficiency
3. Vitamin C deficiency
4. Vitamin D deficiency
5. Vitamin A deficiency
6. Vitamin B-12 deficiency - ANSWER 1. Iron deficiency
2. Folic Acid deficiency
6. Vitamin B-12 deficiency
The nurse cautions the 79-year-old male who had a gastrectomy a
month ago that he is at risk for _____ anemia.
a. aplastic
, b. pernicious
c. iron deficiency
d. nutritional - ANSWER b. pernicious
Because of a deficiency of iron, the person with iron deficiency anemia is
unable to make sufficient:
a. plasma.
b. WBCs.
c. hemoglobin.
d. antibodies. - ANSWER c. hemoglobin
The nurse is aware that a common cause of reduced amounts of
erythropoietin is:
a. renal failure
b. liver cancer
c. emphysemia
d. diabetes - ANSWER a. renal failure
The nurse anticipates that the patient with iron deficiency anemia will
have red cells that are:
a. normochromic and normocytic.
b. hypochromic and microcytic.
c. hyperchromic and macrocytic.
d. normochromic and microcytic - ANSWER b. hypochrmic and
microcytic
The nurse frequently assesses for signs of infection on the patient with
aplastic anemia because the patient will not be able to produce an
inflammatory response related to the low level of:
a. leukocytes.
b. erythrocytes.
c. histamine.
d. hemopoietin - ANSWER a. leukocytes
The nurse instructs the 20-year-old female patient with sickle cell trait
that:
a. the condition will evolve into sickle cell anemia as she ages.
b. all of her children will have sickle cell anemia.
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