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AHN 447 Exam (Hematology & HIV/AIDS)| Questions and Answers Verified 100% Correct | Latest Update
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AHN 447 Exam (Hematology & HIV/AIDS)| Questions and Answers Verified 100% Correct | Latest Update
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AHN 447 Exam (Hematology & HIV/AIDS)|Questions and Answers Verified 100% Correct |
Latest Update
What is the biggest difference between Hodgkin's and Non-Hodgkin's Lymphoma? -
✔✔Hodgkin's Lymphoma has the marker, Reed Sternberg Cells and Non-Hodgkin's
Lymphoma doesn't.
What is the hallmark manifestation of Multiple Myeloma? - ✔✔bone pain with pathological
fractures
platelet destruction greater than platelet production - ✔✔ITP (Idiopathic Thrombocytopenic
Purpura)
What are the clinical manifestations of ITP? - ✔✔- ecchymosis
- petechial rash
- anemia
What are the interventions for ITP? - ✔✔- immunosuppressants, steroids
- platelet transfusion
- provide safe environment and teach safety
platelets clump together abnormally leaving too few platelets in circulation; if not treated
properly, can be fatal in 3 months - ✔✔TTP (thrombotic thrombocytopenic purpura)
What are the interventions used fro TTP? - ✔✔- prevent platelet aggregation
- remove affected plasma and infuse fresh frozen plasma
- immune suppression therapy
, unexplained drop in platelets after heparin treatment (can be up to 100 days after treatment) -
✔✔HIT (heparin-induced thrombocytopenia)
What are the 4 risk factors for HIT? - ✔✔1. duration of heparin use longer than a week
2. administration of unfractionated heparin
3. post-surgical thromboprophylaxis
4. higher incidence in females
What are the interventions for HIT? - ✔✔- monitor platelet count closely when administering
heparin
- administer direct thrombin inhibitors
- teach thrombocytopenic precautions (electric razor, soft-bristle toothbrush, avoid contact
sports)
What are the pre-transfusion responsibilities that must be done to prevent adverse transfusion
reactions? - ✔✔- verify prescription
- test donor's and recipient's blood for compatibility
- examine blood bag for identification
- check expiration date
- inspect blood for discoloration, gas bubbles, or cloudiness
- assess for hyperkalemia or hypercalcemia
How often should you assess vital signs after a blood transfusion? - ✔✔q5min for the first 30
min; nurse should do this
How long should you stay with the patient after a transfusion has begun? - ✔✔first 15 to 30
min
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