Med surg II exam 2

The nurse correlates appropriate secondary polycythemia to which of the following conditions?

Care for pt w sickle cell disease. The nurse should contact the provider about which prescribed intervention?

prevention if sickle cell crisis. What factors could contribute to this?

The nurse encourages the patient with iron deficiency anemia to increase which food in the diet?

The nurse recognizes which of the following as a component of plasma within the blood?

What term does the nurse use to document a decreased platelet count?

Which term does the nurse use when documenting an elevated red blood cell (RBC) count?

The nurse recognizes which as a function of red blood cells?

diagnosis “Risk for Bleeding related to lack of intrinsic factor” for pt with which hematological disorder?

Pt in sickle cell crisis reports taking recent skiing trip that caused a respiratory infection from the cold. priority?

physical assessment in an 80 yo male, nurse correlates which findings to age-related changes to hematological system?

Which statement by a 65 yo pt dx w aplastic anemia secondary to chemo indicates the need for further teaching?

care for a pt w acute myeloid leukemia. priority diagnosis to minimize risk of complications associated w this dx?

pt w hx of anemia starts vegan diet. Recommendations to help ensure pt has enough iron in diet?

An older adult patient w renal failure is dx w anemia. Based on data, which cause of anemia?

Care to a pt who presents w clinical manifestations of an ischemic stroke. Time frame for fibrinolytic medication?

Which statement to the nurse by the patient about a planned bone marrow biopsy indicates the need for further teaching?

The nurse prioritizes which nursing diagnosis for the patient with a decreased neutrophil count?

nurse teaches a pt to increase intake of which hematopoietic vitamins to promote red blood cell formation and function?

Patient w severe anemia. Pt lives alone, states, “I can’t even walk to the kitchen w/out getting winded.” diagnosis?

The nurse notes that the patient has a red, swollen, smooth, shiny and tender tongue. Which disorder is this?

The nurse correlates an intact immune system with the function of which stem cells? Select all the apply.

Which is an age-related hematological change the nurse anticipates when reviewing a CBC for an older adult patient?

care to a pt admitted for a sickle cell disease crisis. Priority prescription to implement when providing care?

patient who is diagnosed with iron deficiency anemia. pt statement indicates a need for additional teaching?

The nurse monitors which laboratory results in the patient with a clotting disorder caused by the intrinsic pathway?

In monitoring a patient at the completion of a bleeding time test, which finding requires an intervention?

bone marrow aspiration and biopsy on a patient who has leukemia. pt has thrombocytopenia.On completing test, priority?

The nurse is evaluating a pt understanding of dietary needs to tx anemia. pt statement indicates a need for teaching?

reviewing pt CBC results, the nurse notes a “shift to the left.” What is the significance of these results?

pt has fatigue, pallor, and dyspnea on exertion and CBC completed. Which hematological disorder?

The nurse prepares to administer the prescribed IM iron to a patient. Which is the priority action for this task?

pt dx w aplastic anemia. In teaching pt & family about disease process, what info is included?

The nurse monitors for which clinical manifestations in the patient diagnosed with malignant lymphoma?

Pt in sickle cell crisi w: temp 102, O2 98%, complaint of severe abdominal pain. Priority intervention?

The nurse correlates which diagnostic results to the patient with pancytopenia?

Pt w iron deficiency anemia, scrip for ferrous sulfate, told to increase foods high in iron. Need for further teaching?

admin cryoprecipitate to pt w idiopathic thrombocytopenia purpura, which actions are rational for this tx?

The nurse correlates which diagnostic finding to a diagnosis of multiple myeloma?

pt w iron deficiency anemia is experiencing glossitis. Which patient statement indicates the need for further education?

older adult pt w hemolytic anemia. Planning care for this pt, which should the nurse take into consideration?

providing care to a pt who has impaired platelet aggregation. What does the nurse anticipate based on this data?

discharge instructions to pt who is neutropenic. Which patient statements indicate need for additional teaching?

Care for a pt dx w folic acid deficiency anemia clinical manifestation requires HC provider noti?

Education to a pt diagnosed w a folic acid deficiency. Which patient statement indicates a correct understanding?

The nurse correlates a potential for decreased oxygenation in the female patient with which laboratory results?

The nurse monitors for which diagnostic result in the patient with glucose-6-phosphate dehydrogenase (G6PD) deficiency?

Iqnstructing a pt w iron deficiency anemia about appropriate menu choices. Diet choice indicates teaching is effective?

pt dx w polycythemia prescribed radiation, asks the rationale for this tx. Which response by the nurse is accurate?

care for a pt w malignant lymphoma, nurse correlates which manifestations to development of superior vena cava syndrome?

pt complaining of mouth soreness. pt tongue is beefy, red, smooth & skin appears yellowish. This is decrease of what?

CBC count: platelet 180,000/mm3; hgb 15 g/dL; RBC 4.4 million cells/mm3; WBC 6 103/mm3– . analysis of results?

Reviewing lab results for a patient scheduled for a bleeding time test. Which value requires an immediate intervention?

The nurse is caring for a male patient w hypersplenism. Which laboratory result does nurse correlate to this disorder?

Which actions does the nurse implement in the patient who is neutropenic?

Which clotting factor is converted to fibrin and is responsible for clot formation?

Medication indicated to prevent the formation of clots for a patient diagnosed with deep vein thrombosis (DVT)?

pt takes 325 mg aspririn/day, w long term aspirin therapy, lab tests needed to be monitored?

Pt presents in the ER with symptoms of a thrombotic stroke should be evaluated to receive which medication?

priority teaching point to include in the discharge instructions for pt being discharged after tx for sickle cell crisis