Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 33: Hematologic Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
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