Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 31, Caring for Clients With Disorders of the Hematopoietic System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Your client was admitted to the emergency department after an accident with a chain saw. The client is exhibiting signs and symptoms of acute hypovolemic anemia from severe blood loss. What signs and symptoms would you assess for? | |
| A) | Malabsorption disorders | |
| B) | Postural hypotension | |
| C) | Fatigue | |
| D) | Reduced urine output | |
| Ans: | D | |
| Feedback: | ||
| Acute hypovolemic anemia from severe blood loss is evidenced by the signs and symptoms of hypovolemic shock, which include reduced urine output. The symptoms of chronic hypovolemic anemia include fatigue and postural hypotension. Clients with malabsorption disorders are at great risk of iron-deficiency anemia. | ||
| 2. | A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in his arms and legs. What do these symptoms indicate? | |
| A) | Loss of vibratory and position senses | |
| B) | Neurologic involvement | |
| C) | Severity of the disease | |
| D) | Insufficient intake of dietary nutrients | |
| Ans: | B | |
| Feedback: | ||
| In clients with pernicious anemia, numbness and tingling in the arms and legs and ataxia are the most common signs of neurologic involvement. Some affected clients lose vibratory and position senses. Jaundice, irritability, confusion, and depression are present when the disease is severe. Insufficient intake of dietary nutrients is not indicated by these symptoms. | ||
| 3. | The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. Why? | |
| A) | Trauma and microabrasions may contribute to anemia. | |
| B) | Fragile tissues and altered clotting mechanisms may result in hemorrhage. | |
| C) | The client is at risk for spontaneous and uncontrolled bleeding. | |
| D) | The client is at risk for infection from microorganisms. | |
| Ans: | A | |
| Feedback: | ||
| In a client with leukemia who is at risk for hemorrhage, the nurse handles the client gently when assisting and encourages the client to use electric razors. Trauma and microabrasions from razors may contribute to anemia from bleeding. Fragile tissues and altered clotting mechanisms may result in hemorrhage even after minor trauma. Therefore, the nurse inspects the skin for signs of bruising and petechiae and reports melena, hematuria, or epistaxis (nosebleeds). The risks for spontaneous and uncontrolled bleeding or infection from microorganisms are not addressed by the use of electric razors. | ||
| 4. | You are caring for an 87-year-old female who has been admitted to your unit with anemia. What would you suspect? | |
| A) | Excessive consumption of coffee or tea | |
| B) | Elimination of iron by the body | |
| C) | Decrease in the total body iron stores with age | |
| D) | Blood loss from the gastrointestinal or genitourinary tract | |
| Ans: | D | |
| Feedback: | ||
| If an older adult is anemic, blood loss from the gastrointestinal or genitourinary tract is suspected. This is because iron-deficiency anemia is unusual in older adults as the body does not eliminate excessive iron, causing total body iron stores to increase with age. Excessive consumption of coffee or tea is not a causative factor for anemia in older adults. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
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