Hematologic

Question 1

If rapid onset of anemia occurs after major surgery, which of the following symptom patterns might develop?

Answer 1

Exertional dyspnea and fatigue with increased heart rate

Question 2

Chronic GI blood loss sometimes associated with use of NSAIDs can result in which of the following problems?

Answer 2

Iron deficiency

Question 3

Under what circumstances would you consider asking a client about a recent change in altitude or elevation?

Answer 3

When pt describes symptoms of unknown origin such as headache, dizziness, fatigue, and changes in sensation of the feet and hands or joint pain swelling, and loss of motion and you live at an elevation of 3500 feet or higher

Question 4

Preoperatively, clients cannot take aspirin or anti-inflammatory medications because??

Answer 4

decreased platelets

Question 5

Skin color and nail bed changes may be observed in the client with?

Answer 5

pernicious anemia resulting from vitamin B12 deficiency

Question 6

In the case of a client with hemarthrosis associated with hemophilia, what physical therapy intervention would be contraindicated?

Answer 6

Heat

Question 7

Bleeding under the skin, nosebleeds, bleeding gums, and black stools require medical evaluation as these may be indications of?

Answer 7

Thrombocytopenia

Question 8

Describe the two test used to distinguish an iliopsoas bleed from a joint bleed?

Answer 8

1. Trunk flexion over hips produces severe pain in presence of iliopsoas bleed
2. Gently rotating the hip internally or externally causes severe pain in presence of a hip hemorrhage

Question 9

What is the significance of nadir?

Answer 9

lowest point in WBC at 7-14 days after chemotherapy or radiation

Question 10

When exercising a client with known anemia, what two measures can be used as guidelines for frequency, intensity, and duration of the program?

Answer 10

RPE

Client tolerance

Question 11

In sever anemia, which of the following body structures will receive the least amount of blood?

Answer 11

Kidneys

Question 12

Which of the following are the largest circulating blood cells?

Answer 12

Monocytes

Question 13

Adults with pernicious anemia have significantly higher risk for?

Answer 13

Hip Fracture

Question 14

What is the most common site of bleeding in an individual with hemophilia?

Answer 14

Joints

Question 15

Skin color and nail bed changes may be observed in the client with?

Answer 15

pernicious anemia from vitamin B12 deficiency

Question 16

When is a patient most susceptible to infection after chemotherapy or radiation?

Answer 16

7-14 days

Question 17

Which of the following is a symptom of leukopenia?

Answer 17

Fever and chills

Question 18

Which of the following is the part of blood that carries antibodies and nutrients to tissues?

Answer 18

Plasma

Question 19

Which of the following is a sign or symptom of primary polycythemia?

Answer 19

Gout