Chapter 17: Care of Patients with Hematologic Disorders

Chapter 17: Care of Patients with Hematologic Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse cautions the 79-year-old male who had a gastrectomy a month ago that he is at risk for _____ anemia.

ANS:  B

Pernicious anemia will result from the lack of the intrinsic factor found in the stomach lining. Without the intrinsic factor, the body is unable to absorb vitamin B₁₂. Aplastic anemia is related to bone marrow suppression. Iron deficiency anemia is often related to a deficiency of iron in the diet.

DIF:    Cognitive Level: Application           REF:   347 | Clinical Cues

OBJ:   1 (theory)       TOP:   Pernicious Anemia: Etiology

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

2. Because of a deficiency of iron, the person with iron deficiency anemia is unable to make sufficient:

ANS:  C

Deficiency of iron causes reduced production of hemoglobin.

DIF:    Cognitive Level: Comprehension     REF:   347                OBJ:   1 (theory)

TOP:   Iron Deficiency Anemia                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

3. The nurse is aware that a common cause of reduced amounts of erythropoietin is:

ANS:  A

Renal failure results in reduced amounts of erythropoietin, a substance necessary for the production of RBCs in the bone marrow.

DIF:    Cognitive Level: Comprehension     REF:   347                OBJ:   1 (theory)

TOP:   Causes of Anemia                           KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

4. The nurse anticipates that the patient with iron deficiency anemia will have red cells that are:

ANS:  B

Iron deficiency anemia causes the RBCs to be small and have less color.

DIF:    Cognitive Level: Application           REF:   348                OBJ:   1 (theory)

TOP:   Characteristics of RBCs                   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

5. The home health nurse assesses the patient taking ferrous sulfate (Feosol). Which patient statement alerts the nurse that teaching is necessary regarding this medication?

ANS:  A

Milk products inhibit the absorption of iron. Iron is better absorbed if vitamin C is in the GI tract at the same time, so drinking orange juice with the ferrous sulfate is beneficial. Capsules and enteric-coated iron preparations should not be opened or crushed. Whole grains are not known as inhibitors of iron absorption.

DIF:    Cognitive Level: Application           REF:   349 | Table 17-3

OBJ:   2 (clinical)      TOP:   Anemia Treatment: Feosol

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies