Chapter 29: Assessment of Hematologic System

Chapter 29: Assessment of Hematologic System

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is caring for a patient who is being discharged after an emergency splenectomy following a motor vehicle crash. Which instructions should the nurse include in the discharge teaching?

ANS:  D

Splenectomy increases the risk for infection, especially with gram-positive bacteria. The risks for lymphedema, bleeding, and anemia are not increased after a person has a splenectomy.

PTS:   1                    DIF:    Cognitive Level: Apply (application)

REF:   592                TOP:   Nursing Process: Implementation

MSC:  NCLEX: Physiological Integrity

2. The nurse assesses a patient who has numerous petechiae on both arms. Which question should the nurse ask the patient?

ANS:  C

Salicylates interfere with platelet function and can lead to petechiae and ecchymoses. Antiseizure drugs may cause anemia but not clotting disorders or bleeding. Oral contraceptives increase a person’s clotting risk. Antihypertensives do not usually cause problems with decreased clotting.

PTS:   1                    DIF:    Cognitive Level: Apply (application)

REF:   598                TOP:   Nursing Process: Assessment

MSC:  NCLEX: Physiological Integrity

3. A nurse reviews the laboratory data for an older patient. The nurse would be most concerned about which finding?

ANS:  D

Because the total WBC count is not usually affected by aging, the low WBC count in this patient would indicate that the patient’s immune function may be compromised and the underlying cause of the problem needs to be investigated. The platelet count is normal. The slight decrease in hemoglobin and hematocrit are not unusual for an older patient.

PTS:   1                    DIF:    Cognitive Level: Analyze (analysis)

REF:   589                TOP:   Nursing Process: Assessment

MSC:  NCLEX: Physiological Integrity

4. A patient with pancytopenia has a bone marrow aspiration from the left posterior iliac crest. Which action would be important for the nurse to take after the procedure?

ANS:  B

To decrease the risk for bleeding, the patient should lie on the left side for 30 to 60 minutes. After a bone marrow biopsy, the wound is small and will not be packed with gauze. A pressure dressing is used to cover the aspiration site. There is no indication to elevate the patient’s head.

PTS:   1                    DIF:    Cognitive Level: Apply (application)

REF:   599                TOP:   Nursing Process: Implementation

MSC:  NCLEX: Physiological Integrity