Care 2 Exam 5

Question 1

(SATA) Match the following lab values to their definitions

Accepted Answer

MCH: average amount of Hgb in each RBC, MCV: average size of RBCs

Question 2

Which of the following is the most common cause of chronic blood loss in an adult patient?

Accepted Answer

Chronic GI Bleeding

Question 3

(T/F) A patient that has vitamin B12 anemia will have a normal folic acid level

Accepted Answer

True

Question 4

(SATA) Which of the following are s/s of iron deficiency anemia?

Accepted Answer

Glossitis, Pruritus, Pallor, Tachycardia

Question 5

(SATA) Which of the following are ways to administer vitamin B12?

Accepted Answer

Orally by vitamins, Sublingually, Parenterally, Intranasal, Intramuscular, Orally by food supplementation

Question 6

All of the following are true about ART before/during/after pregnancy EXCEPT

Accepted Answer

Continuous infusion of AZT during labor, Start infant on AZT as soon as possible after birth & for 6 weeks, Start ART ASAP in first trimester

Question 7

(SATA) Patient education regarding phlebotomy patients include

Accepted Answer

Inform them that this is a life long therapy, Avoid alcohol & wine, Avoid iron rich foods, Increase protein & folic acid supplements

Question 8

After a hemilaryngectomy, the patient will no longer be able to speak.

Accepted Answer

False

Question 9

(SATA) Symptoms of superior vena cava syndrome

Accepted Answer

Seizures, Pemberton&#x27;s sign, Head, neck, chest vein distention, Periorbital edema

Question 10

(SATA) Which of the following are considered to be nutritional anemias?

Accepted Answer

Cobalamin (B12), Iron deficiency anemia, Folic acid

Question 11

(SATA) Which of the following are s/s of polycythemia vera?

Accepted Answer

Evidence/Hx of thrombus, Hepatomegaly, Hematuria, ruddy/duskiness of mucosa, Headaches, Melena

Question 12

What drug can be used for prevention of xerostomia?

Accepted Answer

Amifostine

Question 13

Which of the following is a finding unique to vitamin B12 anemia?

Accepted Answer

Paresthesias of extremities

Question 14

(SATA) Nursing considerations for carotid artery rupture

Accepted Answer

Administer IV fluids and blood, Apply pressure

Question 15

A patient receiving a blood transfusion begins having facial flushing, rash, and wheezing. What should nurse do FIRST?

Accepted Answer

Stop the transfusion

Question 16

A pt did 4th gen testing for HIV. Test was negative but they still engage in risky behavior. What do you tell them?

Accepted Answer

"I recommend that you come back to retest in 4-6 weeks"

Question 17

A pt who has AIDS notices small specks in vision and decreased peripheral vision. What next?

Accepted Answer

Call the opthalmologist

Question 18

Men who have at least a 10 year life expectancy are required to undergo prostate cancer screening

Accepted Answer

False

Question 19

Which of the following would indicate a need for further teaching regarding guaiac stool testing?

Accepted Answer

I will continue to take my vitamin C supplements

Question 20

(SATA) Which of the following lab findings would be consistent with a dx of iron deficiency anemia?

Accepted Answer

Decreased serum iron, Increased transferrin, Decreased serum ferritin

Question 21

(T/F) The neurological problems caused by vitamin B12 anemia are ALWAYS reversible

Accepted Answer

False

Question 22

How is HIV transmitted? (SATA)

Accepted Answer

Sexual contact with semen or vaginal secretions, Contact with blood and blood products, Perinatal transmission

Question 23

(SATA) Which of the following labs can be used to evaluate red blood cells?

Accepted Answer

RBC, MCV, Hgb, Hct, MCH

Question 24

What are the main goals of antiretroviral therapy? (SATA)

Accepted Answer

Maintain/ increase CD4+ counts, Delay progression of the disease, Decrease viral load, Prevent HIV-related symptoms and opportunistic diseases

Question 25

A pt is found to have a hgb level of 10.7 but denies any dizziness or pruritis. Which type of anemia would this pt?

Accepted Answer

Mild anemia

Question 26

What is the normal range for platelets?

Accepted Answer

150,000 - 450,000

Question 27

Match the clinical manifestations of thrombocytopenia with their correct description (SATA)

Accepted Answer

Ecchymoses: larger lesions from hemorrhage, Purpura: bruise from numerous petechiae, Petechiae: microhemorrhages

Question 28

(SATA) What are some examples of general cancer symptoms?

Accepted Answer

Indigestion or difficulty swallowing, Thickening or lump (breast, elsewhere), Changes in bowel or bladder, Unusual discharge or bleeding, Nagging cough or hoarseness, A sore throat that doesn&#x27;t heal

Question 29

Which type of thrombocytopenia is associated with the use of heparin and is life-threatening?

Accepted Answer

Heparin-Induced Thrombocytopenia

Question 30

Important teaching for toxoplasmosis? (SATA)

Accepted Answer

Wash hands after contact with raw meat or soil, Stay away from cats, Do not eat raw meat, Wash fruits/veggies

Question 31

What size gauge should the prudent nurse use during a blood transfusion for an adult?

Accepted Answer

20 gauge

Question 32

(SATA) Which of following are correct regarding oral iron administration?

Accepted Answer

Pt may have dark colored stool, Utilize a straw when giving liquid iron, Take with vitamin C to enhance absorption

Question 33

What is the time frame for immunizations after a patient has a splectomy? (SATA)

Accepted Answer

14 days before surgery, 14 days post-op for unexpected splenectomy

Question 34

(SATA) Which of the following are appropriate nursing interventions regarding sicle cell crisis?

Accepted Answer

Give O2, Give fluids!!!!, Pain management therapy, DVT prophylaxis

Question 35

(SATA) Laryngectomy post-op nursing considerations

Accepted Answer

Monitor albumin level, Auscultate lung sounds, Suction + humidified oxygen

Question 36

A pt. has trismus, what should the nurse encourage them to do?

Accepted Answer

Perform mouth/jaw opening exercises

Question 37

What can be used to clean the pt&#x27;s mouth if they have mucositis

Accepted Answer

Salt and saline solution

Question 38

Which of the following are foods that are rich in iron?

Accepted Answer

Broccoli, Spinach, Dried fruits, & liver

Question 39

How often should colonoscopies performed?

Accepted Answer

Every 10 years starting age 45

Question 40

What should be monitored in SIADH?

Accepted Answer

Sodium

Question 41

(SATA) Screening guidelines for CBE

Accepted Answer

Asymptomatic women > 40; q year, Women 20-30 years old; q 3 years

Question 42

Which of the following are appropriate ways to manage thrombocytopenia? (SATA)

Accepted Answer

Avoid aspirin, Sit high Fowler&#x27;s if epistaxis occurs, apply pressure, & avoid nose blowing, Don&#x27;t walk barefoot, Use a soft toothbrush and do not floss, Avoid IM/SQ injections, use small needles, and apply pressure after, Avoid cutting nails and use an electric razor for shaving

Question 43

Which of the following comorbidities would you potentially put a pt at risk for developing polycythemia vera?

Accepted Answer

COPD

Question 44

Which of the following is the treatment of choice for polycythemia vera?

Accepted Answer

Phlebotomy

Question 45

(SATA) Thrombocytopenia nursing considerations + education

Accepted Answer

Administer stool softeners, Use soft-bristle toothbrush, Do not bend down w/ head lower than waist

Question 46

(SATA) Neutropenia nursing considerations + education

Accepted Answer

Avoid crowds + ppl with flu, colds, infections, Notify physician if fever > 100.4 F (38C)

Question 47

What is the most common presenting manifestation of AIDS?

Accepted Answer

Pneumocystis Pneumonia

Question 48

(SATA) Nursing considerations for internal beam radiation

Accepted Answer

Wear film badge to monitor exposure, Use shielding

Question 49

(SATA) Anorexia nursing considerations

Accepted Answer

Inc. proteins and calories, Small, frequent meals, Increase activity level

Question 50

S/S of cryptosporidiosis and what are patients at risk for? (SATA)

Accepted Answer

Watery diarrhea, Risk for fluid volume deficit

Question 51

What would be a positive PPD reading for a person with HIV?

Accepted Answer

5 mm +

Question 52

(SATA) Which of the following are s/s of hemolytic anemia?

Accepted Answer

Pruritis, Enlarged spleen, Jaundice, Sharp flank pain

Question 53

What is the longest that packed RBCs can hang for?

Accepted Answer

4 hours

Question 54

(SATA) Which of the following are s/s of aplastic anemia?

Accepted Answer

Neutropenia, Fatigue, Pancytopenia

Question 55

(T/F) You will see a normal or decreased MCV when reviewing a CBC for a patient that has anemia of chronic disease

Accepted Answer

True

Question 56

Which of the following is accurate regarding pernicious anemia and its cause?

Accepted Answer

Type of B12 deficiency in which there&#x27;s a problem w/ intrinsic factor (IF)

Question 57

What is the greatest barrier to effective cancer pain management?

Accepted Answer

Inadequate pain assessment

Question 58

Which of the following are foods that are rich in vitamin B12?

Accepted Answer

Red meats, eggs, milk, & fish

Question 59

Select the appropriate roles of the nurse during a blood transfusion (SATA)

Accepted Answer

Verify that an order for the transfusion exists, Conduct physical assessment and get baseline vitals, Assess for fever before transfusion

Question 60

(SATA) Electrolyte levels seen in tumor lysis syndrome

Accepted Answer

Hyperphosphatemia, Hyperuricemia

Question 61

(SATA) Which of the following are considered to be a broad classification of anemia?

Accepted Answer

Decreased RBC production, Blood loss, Increased RBC destruction

Question 62

What to do if the pt. has a large amount of bleeding from their stoma?

Accepted Answer

Provide rescue breathing

Question 63

Which of the following are foods that are rich in folic acid?

Accepted Answer

Peanuts, oranges, papaya, & leafy greens

Question 64

(SATA) Which of the following you expect to find on a CBC & other lab values regarding a folic acid deficiency anemia dx

Accepted Answer

Decreased Hbg/Hct, Increased MCV, Decreased folic acid

Care 2 Exam 5

Questions 72

Care 2 Exam 5

Questions 72