Chapter 49 Common Hematologic Disorders

Chapter 49  Common Hematologic Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
Secondary polycythemia is often the result of increased RBC production that can develop as a result of which of the following?
A)
Chronic chemotherapy
B)
Obesity hypoventilation system
C)
Myocardial infarction
D)
Sleep apnea

2.
The nurse completes a physical assessment of a 40-year-old female patient who presents with a history of anemia. What is the most important aspect of the assessment to determine if the patient has hemodilution?
A)
A stool guiac test
B)
BUN and creatinine
C)
Intake and output
D)
Bilirubin

3.
A 22-year-old male is in the ICU with sepsis. The physicians are trying to rule out acute DIC. The nurse performs a primary assessment of the patient at the beginning of shift. Which of the following items would be part of the initial assessment for this patient? Select all that apply.
A)
Check for signs of bleeding in the gums and/or mouth.
B)
Check pupils for reaction.
C)
Check IV sites or any areas where the patient may have had labs drawn for bleeding.
D)
Check for altered level of consciousness.

4.
A 4-year-old female patient who is accompanied by her mother presents with bruising and petechiae all over her legs and trunk. The diagnosis is immune thrombocytopenia purpura (ITP). The mother asks about the cause of the bruising. What is the nurse’s best response to this question?
A)
“Don’t worry. She probably just fell on the playground.”
B)
“She is presenting with thrombocytopenia due to an acute episode of platelet consumption. What medications is your child taking and has she recently received a platelet transfusion?”
C)
“It’s OK. This disease frequently is accompanied by bruising.”
D)
“The bruises indicate a problem with white blood cells.”

5.
A nurse is doing an assessment of a 50-year-old female. She complains of abdominal pain and the nurse suspects that the patient may be bleeding into her abdomen because of a complication with a coagulation disorder. The nurse notifies the physician. What is the nurse’s greatest concern about this patient?
A)
Hypotension, hypovolemic shock
B)
Kidney disorder
C)
Ectopic pregnancy
D)
Infection

Answer Key

1.
C
2.
A
3.
A, B, D
4.
C
5.
B