Chapter 33: Hematologic Disorders

Chapter 33: Hematologic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What should be a major focus in a teaching plan for a teenager with sickle cell anemia?

a.	Limit tobacco use to no more than two cigarettes a day.
b.	Eat foods high in iron and vitamin B.
c.	Maintain environmental temperature at 65° F to 68° F.
d.	Maintain adequate hydration.

 

 

ANS:  D

The maintenance of adequate fluid intake (4-6 L/day) prevents hemoconcentration. The use of alcohol and tobacco are contraindicated for the patient with sickle cell anemia as the cause vasoconstriction. Warm environments are more therapeutic as warm environments do not cause vasoconstriction.

 

DIF:    Cognitive Level: Application           REF:   p. 638             OBJ:   6

TOP:   Sickle Cell Anemia                         KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. Which is considered an approximate normal hematocrit value?

a.	Three times the hemoglobin value
b.	The same as the hemoglobin value
c.	Four times lower than the red blood cell count
d.	Same as the red blood cell count

 

 

ANS:  A

Hematocrit is approximately three times the hemoglobin value.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 627             OBJ:   3

TOP:   Normal Laboratory Values               KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. A nurse is caring for a patient who is having radiation treatment for cancer. How many days after the start of radiation should the nurse know that the threat of thrombocytopenia exists?

a.	2
b.	5
c.	9
d.	12

 

 

ANS:  D

Thrombocytopenia becomes a nursing concern 10 to 14 days after therapy has begun. This concern is true for radiation and chemotherapy.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 638             OBJ:   6

TOP:   Thrombocytopenia                          KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

4. A nurse is caring for a patient receiving a transfusion and assesses that the patient is wheezing and is complaining of back pain. What nursing action should take place after stopping the transfusion?

a.	Discontinue the intravenous (IV) transfusion.
b.	Notify the charge nurse.
c.	Administer heparin.
d.	Raise the patient’s head.

 

 

ANS:  B

The charge nurse should be notified immediately after the transfusion is stopped. The charge nurse will notify the physician and the laboratory or blood bank. The head of the bed should be raised to aid in respiration, and oxygen should be administered in high doses. The blood tubing and bag should not be discarded because the blood bank will want it to check the accuracy of the typing.

 

DIF:    Cognitive Level: Application           REF:   p. 632             OBJ:   4

TOP:   Blood Transfusion Reactions           KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies