Chapter 28. Nursing Care of Patients With Hematologic and Lymphatic Disorders

Chapter 28. Nursing Care of Patients With Hematologic and Lymphatic Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   The nurse is caring for a patient with anemia. Which blood component is deficient in this patient?

____     2.   A patient is diagnosed with anemia and asks the nurse what nutrients are important for RBC formation. The nurse bases an answer on the understanding that which nutrients are essential for production of healthy red cells?

____     3.   A patient with iron-deficiency anemia has been taking oral iron supplements. Which test should the nurse review to determine the effectiveness of this intervention?

____     4.   The nurse is assisting in the development of a care plan for a patient with anemia. Which nursing diagnosis is most common in a patient with anemia?

____     5.   The nurse is providing dietary teaching to an individual with iron-deficiency anemia. Which patient statement indicates that teaching has been effective?

MULTIPLE CHOICE

1. ANS:  C

The term anemia describes a condition in which there is a deficiency of RBCs, hemoglobin, or both, in the circulating blood. B. C. Deficiency of WBCs is called leukopenia, and deficient platelets is called thrombocytopenia. D. A deficiency of plasma would cause dehydration.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis

2. ANS:  A

Iron, folic acid, and vitamin B12 are all essential to production of healthy RBCs. A deficiency of any of these nutrients can cause anemia. B, C, and D are not associated with anemia.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

3. ANS:  B

Hemoglobin and hematocrit are below normal in anemia. C. Electrolyte, BUN, and creatinine abnormalities usually indicate kidney pathology. D. Thrombin clotting time and PT monitor the effectiveness of anticoagulant therapy. B. WBC counts are used to monitor the effectiveness of antibiotic therapy for infections. Platelets are monitored to determine clotting ability.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

4. ANS:  A

Patients with anemia are fatigued related to poor oxygenation, making Activity Intolerance the best diagnosis. B. Anemia generally does not cause airway clearance problems, although it may cause dyspnea. D. Anemia is low RBCs, not WBCs. C. Pain is not a typical problem with anemia.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis

5. ANS:  C

Red meat; dark green leafy vegetables; dried fruits; and enriched, fortified, or whole grain products are relatively good sources of iron that are commonly included in Western diets. Foods rich in vitamin C can be used to enhance absorption of iron from nonmeat sources. Likewise, stewing acidic foods such as tomatoes in iron cookware increases their iron content. A. Green vegetables may contain iron however dairy products are not an identified source of iron. B. Berries and natural cereals are not good sources of iron. D. Yellow vegetables and green tea are not good sources of iron.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis