Caiffa tesoro 2
Leukemia and Hematology Knowledge Assessment
Test your knowledge on leukemia, hematological disorders, and associated nursing care with this comprehensive quiz. This assessment is designed for nursing students, healthcare professionals, and anyone interested in learning more about blood-related conditions.
- 63 detailed questions
- Multiple-choice and checkbox formats
- Ideal for enhancing your clinical knowledge
A client diagnosed with leukemia
Fluid overload
Hemorrhage
Hypoxia
Infection
A client with leukemia has a platelet count of 7000
Take the clients temperature rectally
Obtain an order for stool softeners
Tell the client to place a warm compress on my area of injury
Admin Injections IM rather than IV
A bone marrow aspiration was performed to the left iliac crest of a patient suspected to have aplastic anemia
Place the patient in a supine position
Administer an antibiotic
Apply pressure to the site
Apply betadine to the site
A client is admitted to the health care facility for evaluation for Addisons disease
BUN level of 12
Blood glucose level of 90
Serum sodium level of 134
Serum Potassium level of 5.8
A client on medication after a bilateral adrenalectomy calls
I will call in a prescription for an antiemetic
Try to drink extra fluids until you can come in for an appoint
You need to go to the nearest emergency department today
Double the dose of your medication today and tomorrow
A client presents with elevations in T3 and T4
Administer levothyroxine
Administer proanolol
Monitor the apical pulse
Assess for trousseau sign
A client with B negative blood requires a blood transfusion during surgery
AB negative blood
O negative blood
B positive blood
A positive blood
A client recovering for sickle cell crisis is discharged home
Heparin
Hydroxyurea
Tissue plasminogen activator
Famotidine
A client with diabetes insipidus is receiving DDAVP
Urine output of 1500ml in 8 hr
Increased urine specific gravity
White blood cell count of 5000
Blood glucose of 92
A client with pheochromocytoma is admitted for surgery
Avoids palpating the abdomen
Monitors for pulmonary edema
Obtains urine specimen
Place the client with a roommate
A client with diabetes insipidus is experiencing extreme dehydration
Skin turgor
Urine output total
Hemoglobin level
Serum sodium level
The nurse monitors for the patients: Select all that apply
Infection
Bleeding
Weakness
Thrombosis
Dyspnea
A positive outcome of fludrocortisone acetate therapy in a patient with Addisons disease
Calcium level of 9
Hemoglobin 13g
Respiratory rate 18
Sodium level of 140m
After teaching a client about taking oral iron preparations for iron deficiency anemia
I will take the medication with a glass of milk
I will take the iron tablets daily
I will not double the dose
I will increase my fluid intake
The nurse is assessing a group of clients, which one is a higher risk for developing folic acid anemia
An obese individual
An individual with alcoholism
A person of jewish descent
An athlete
Following a car accident a client with hemophilia B
Infuse normal saline at 200 ml
Type and cross match for 2 units of blood
Transport to radiology
Transfuse factor IX concentrate
Manifestations of aplastic anemia is caused by a faulty process in the
Bone marrow
Hemoglobin structure
Production of erythropoietin
Storage of blood cells
The RN has just received change of shift report on the med surge unit, which client should he see first
Client with hashimoto
Client with hypothyroidism
Client with parathyroid edema
Client who had a parathyrodectomy yesterday and has muscle twitching
The client is receiving methimazole. Which statement by the client indicates good understanding of the teaching
If I become pregnant I need to notify my health care provider immediately
Liver problems can occur
I will take my pulse daily
This med may cause dyspnea
The doctor has prescribed a diet high in vitamin B12 for a client. Which food
Shrimp, legumes, bran cereals
Apples, grapes and cherries
Peanut butter
Meat, eggs, dairy products
The nurse is caring for a patient with hemophilia teaches the patient to seek medical attention
An oral temperature over 100
A sore throat
Bleeding gums
Long-lasting, painful headaches
The nurse develops a discharge teaching plan for a patient with sickle cell anemia
Drinking lots of fluids
Avoiding bruises or injury
Maintain a high fiber diet
Monitor bowel sounds
The nurse is assessing multiple clients with the sign shown below( la Mano pa adentro para)
A client
The nurse is assessing a client recently diagnosed with Graves disease
Rapid bounding pulse
Bradycardia
Heat intolerance
Mild tremors
Nervousness
Constipation
The nurse is assessing multiple clients with the sign shown below( la Mano pa adentro para)
A client with hyperthyroidism
A client with hyperparathyroidism
A client post subtotal thyroidectomy
A client with cushing syndrome
The nurse is assigned to a client with thrombocytopenia who has an order for neurological checks every hour
To correlate the platelet count with the neurological status
To evaluate the effectiveness of the treatment
To monitor for signs of intracranial bleeding
To determine if coagulopathy is related to neurological status
The nurse is caring for a client diagnosed with hyperparathyroidism
Assess blood pressure
Encourage a diet high in calcium
Administer large amounts of IV fluids
Admin IV calcium gluconates
The nurse is caring for a client with hypothyroidism who was just ordered the drug levothyroxine
Cardiovascular
Neurological
Nutritional
Pingological
The nurse is caring for a client with severe thrombocytopenia
Petechiae
Bradycardia
Hypertension
Melena
The nurse is caring for a client who was recently diagnosed with pemicious anemia
Adequate amounts of dietary intake
Hematopoietic stem cell transplantation
The symptoms of the disease can always be completed
Death can be prevented with B-12 injections for the rest of the patients life
The nurse is caring for a client with pheochromocytoma who is complaining of severe headaches
Temperature
Blood pressure
Pupil reaction
Pinga erection
The nurse is caring for a patient with a hematologic disorder who has a smooth, shiny red Tongue
White blood cells 14.5 thousand
Platelet 90 thousand
Red blood cells 6.4 million
Hemoglobin 9.6
The nurse is performing an admission assessment
Do you feel more tired lately?
Do you feel shortness of breath?
Do you experience any numbness or tingling
Have you ever needed a blood transfusion
The nurse is preparing discharge teaching for a client with cushings syndrome
Increase fluids
Increase activity
Restrict salt intake
Increase salt intake
The nurse is preparing the room for the client returning from a thyroidectomy
Calcium gluconate
Emergency tracheostomy ki
Furosemide
Hypertonic saline
Suction
The nurse is reviewing diagnostic results for a client with myxedema coma
Total cholesterol
Ph 7.20 HCO3: 24 CO2: 48mm
Decreased TSH
Elevated T4 levels
The nurse is teaching a client after a small bowel resection
Iron deficiency anemia
Vitamin B12 deficiency
Folic acid deficiency
Hemolytic anemia
The nurse is teaching a patient with iron deficiency anemia about foods
Cheese
Raisins
Oranges
Bananas
The nurse is caring for a patient who is receiving a blood transfusion (Select all that apply)
Fever
Chills
Dyspnea
Low back pain
Thrombocytopenia
The nurse provides care to a patient who is diagnosed with Addisons disease
Fatigue
Hypotension
Emotional
Skin hyperpigmentation
The nurse is caring for a client who is receiving a blood transfusion. ( Select all)
Send freshly collected urine samples to the lab
Return the remainder of the blood component to the blood bank
Return the IV admin set to the blood bank
Write an incident report and notify the supervisor
Notify the infection control center
What manifestations should the nurse expect to find in a client with cushing syndrome
Moon face
Truncal obesity
Barrel shaped chest
Loss of bone density
Enlarged hands and feet
Which lab result indicate the fluid restriction have been effective
Decrease hematocrit
Decrease serum osmolality
Increased serum sodium
Increased urine specific gravity
A client has experienced a rash with pruritus during previous blood transfusions
Ibuprofen
Acetaminophen
Diphenhydramine
Acid
A client recieving a transfusion of packed red blood cells begins to vomit
Septicemia
Hyperkalemia
Circulatory overload
Delayed transfusion reaction
A patient is ordered to receive 2 units of packed red blood cells
Obtain signed informed consent
Obtain a new y-tubing set for this units of blood
Type and crossmatch the patient
Hang a new bag of dextrose to transfuse with the blood
A patient started receiving their first unit of blood at 1000, it is now 1010 and the patient is reporting itching
Stop the infusion
Notify the provider
Decrease the rate
Reassure the patient that this is normal
Before initiating the blood transfusion the vitals are 115/72 now it drops to 100/68
Admin the blood transfusion
Hold the blood transfusion and reassess in an hour
Notify the provider before starting the transfusion
Administer 200ml of the blood and then reassess
Following infusion of a unit of packed red blood cells
Maintain bed rest with legs elevated
Place the client in high-fowlers position
Do nothing
Notify the physician
Packed red blood cells have been prescribed for a client with low hemoglobin
Begin the transfusion as prescribed
Administer an antihistamine
Delay hanging the blood and notify the provider
Administer two tablets of acetaminophen and begin transfusion
A nurse assesses a client who is prescribed levothyroxine for hypothyroidism
Thirst is recognized and fluid intake is appropriate
Total white blood cells count is 6000
Weight has been the same for 3 weeks
Heart rate is 70 beats/min and regular
A client is taking methimazole for hyperthyroidism and would like to know how soon this medication begin working
You should see the effects of this med immediately
You should see effect within 1 week
You should see effects within 1-2 days
You should see some effects of this medication within 2 weeks
Which action does the nurse delegate to UAP personnel
Drawing PTT from a saline block
Performing capillary refill assessment
Referring a client with daily alcohol consumption
Reporting any bleeding noted when catheter care is given to a client with hemophilia
Which client does the nurse assign as a roommate for the client with aplastic anemia
A client with sickle cell disease who has two draining leg ulcers
A client with hemolytic anemia who is waiting for reticulocytes count
A client with leukemia who is receiving induction chemotherapy
A client with idiopathic thrombocytopenia who is takin steroids
A nurse is providing teaching to a client who is scheduled to receive one unit of packed red blood cells
It will take about 6 hours for this unit of blood to infuse
You can expect to experience some back discomfort
You will need to lie on your left side while the blood is infusing
I will remain with you for the first 15 minutes of the transfusion process
A nurse is preparing to administer one unit of packed rede blood cells to a client with anemia
Prime the Y-tube with dextrose 5% water
Obtain the vital signs 30 min before administer the blood
Ask the UAP to take the clients vital signs once the transfusion began
Have a second nurse assist with the clients identification information
A nurse is teaching a client who is scheduled for a VMA test to screen pheochromocytoma
Start fasting at midnight prior to the day of the test
Begin 24- hour urine collection with the first morning urination
Take low-dose aspirin for pain during testing period
Restrict coffee intake, bananas and citrus 2 to 3 days prior the test
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