Chapter 29--Hematological Dysfunction: Nursing Management

Chapter 29–Hematological Dysfunction: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is diagnosed with anemia. The nurse realizes that which of the following could be the treatment for this client’s disorder?

1.	Erythropoietin therapy
2.	Leukemia
3.	Poor nutrition
4.	Trauma

 

 

ANS:  1

Anemia is caused for a variety of reasons such as nutrition, chronic illness, trauma, medication therapy, immune suppression, and alterations of erythropoiesis. Erythropoietin therapy stimulates red blood cell production in the bone marrow as a treatment for anemia.

 

PTS:   1                    DIF:    Analyze         REF:   Anemias: Epidemiology

 

2. A client is diagnosed with alpha- and beta- defect thalassemia. The nurse realizes that this disease is common within which of the following cultural groups?

1.	Persons from China
2.	People of Mediterranean ancestry
3.	African Americans
4.	Persons from the Philippines

 

 

ANS:  3

African Americans and Africans are more likely to have both alpha- and beta-defect thalassemia. Populations of Asian descent such as those from China or the Philippines more often have alpha-defect thalassemia. Populations of Mediterranean ancestry are more susceptible to beta-defect thalassemia.

 

PTS:   1                    DIF:    Analyze         REF:   Thalassemia: Epidemiology

 

3. The mother of a newborn is concerned since the baby is jaundiced. The nurse realizes that the infant should be assessed for which of the following anemias?

1.	Glucose-6-phosphate dehydrogenase (G6PD)
2.	Hereditary spherocytosis
3.	Sickle-cell anemia
4.	Thalassemia

 

 

ANS:  2

Hereditary spherocytosis is also known as congenital hemolytic anemia. This anemia begins in utero and manifests as anemia and hyperbilirubinemia. A client with Glucose-6-phosphate dehydrogenase may develop jaundice later in life but not upon birth. Thalassemia and sickle-cell anemia do not present with hyperbilirubinemia upon birth.

 

PTS:   1                    DIF:    Analyze

REF:   Glucose-6-Phosphate Dehydrogenase Anemia: Assessment with Clinical Manifestations

 

4. During the health history portion of the assessment, the client states, “I have sickle-cell trait.” The nurse realizes that:

1.	precautions should be taken to prevent the cell from sickling.
2.	the client is a carrier.
3.	the client will show signs of the disease as she grows older.
4.	the client will transmit the disease to any offspring.

 

 

ANS:  2

Sickle-cell anemia is an autosomal recessive disorder passed from parent to offspring in this pattern. An individual with one HbS has the sickle-cell trait and has a 50% chance of transmitting the gene to each child. There are no precautions to take to prevent the cell from sickling. The client will not demonstrate signs of the disease as she grows older. It will depend upon the other parent having the trait if any offspring will be affected with the disorder.

 

PTS:   1                    DIF:    Analyze         REF:   Sickle-Cell Anemia: Etiology

 

5. A client diagnosed with acute myeloid leukemia is recovering from a bone marrow transplant. Which of the following nursing interventions would not be appropriate for this client?

1.	Assess for reactions to anesthesia.
2.	Assess vital signs.
3.	Maintain isolation precautions.
4.	Obtain a low-pressure mattress to prevent skin breakdown.

 

 

ANS:  1

The client having a bone marrow transplant does not receive anesthesia. Maintaining skin integrity, implementing isolation precautions, and monitoring vital signs are appropriate nursing measures for the client recovering from a bone marrow transplant.

 

PTS:   1                    DIF:    Apply            REF:   Leukemia: Planning and Implementation