Term 2

Question 0

What is idiopathic thrombocytopenia and what would nursing interventions be ?

Answer 0

Avoid contact sports
Use soft tooth brush
Use electric shaver

Question 1

What nursing intervention are important for a client with lymph edema ?

Answer 1

Elevate the arm above the heart level
Protect the arm
Do not use for injections or B/P

Question 2

What should the nurse consider if the stool is very dark in color ?

Answer 2

Taking a hemacult test

Their could be blood in the stool

Question 3

What is a complication the nurse would be concerned about with lymph node enlargement , such as with Hodgkin’s disease ?

Answer 3

Stridor

Airway

Question 4

What nursing care should be given after a bone marrow aspiration /biopsy ? What are the side effects of chemotherapy ?

Answer 4

Apply pressure for 10 mins to promote bloodclot
Monitor for hematoma and edema
Alopecia , loss of appetite , fatigue

Question 5

How should the nurse care for a client with irritated mucous membrane / mouth ulcerations ?

Answer 5

Use swabs
Soft toothbrush
Eat soft food

Question 6

What coursing intervention can help a person with fatigue ?

Answer 6

Rest
Short period of activity with rest periods in between
10 mins of pace activities without tyrate

Question 7

What are s/a of hemophilia ?

Answer 7

Lack of clotting factors
Lack of factor 8
Joint bleed , causing the deformity of the joint - can limit you mobility
Hemathrosis

Question 8

What is polycythemia and what nursing intervention would be appropriate ? What are s/s of anemia ?

Answer 8

Thick blood
Hydration
3 liters of water a day
Can be caused by hypoxia

Question 9

What nutrient deficiencies can cause anemia ?

Answer 9

Folic acid , B12 , iron

Question 10

What foods are rich in iron ?

Answer 10

Leafy greens ( kale ) , red meat (beef) , organ meat

Question 11

What monitoring is necessary during blood transfusion ?

Answer 11

Monitor for itching , hives , rash , if allergic reaction - stop the transfusion

Question 12

What is reverse isolation and when it is required ?

Answer 12

To protect the patient
Amunocompromised
No fresh fruits or flowers

Question 13

What are nursing consideration for patients with leukemia ?

Answer 13

At risk of infection
Have a lot of immature WBC
LEUKROCYTE PAIRED

Question 14

What is purpura ?

Answer 14

Bleeds in the skin

Purple spots

Question 15

What precautions should be taken with a patient at risk for bleeding ?

Answer 15

Avoid IM injection

Use small needles

Question 16

What is pernicious anemia ?

Answer 16

Lack of intrinsic factor

B12 deficiency

Question 17

What is sickle cell crisis ?

Answer 17

Caused by lack if oxygen
Or lack of hydration
It’s called a Vasoocculsive crisis

Question 18

In what population is sickle cell more common ?

Answer 18

African American

Question 19

What is the treatment for sickle cell ?

Answer 19

Hydration

Oxygen

Question 20

What nursing care is required after a spleenectomy ?

Answer 20

Infection or hemmorage

Monitor for abdominal destination sign - internal bleeding

Question 21

What is multiple mylenoma ? What are s/s ?

Answer 21

Cancer of the plasma cell in the bone marrow

S/s- bone pain , pathological fractures

Question 22

What are s/s of thrombophlebitis ?

Answer 22

DVT in the vein - bloodclot
It redness , swollen , shiny
Sometimes the humans sign is done where the foot is flexed and the pt feel pain in the calf

Question 23

What the treatment for thrombophlebitis ?

Answer 23

Anticoagulant
Elevate leg
Warm pack increase

Question 24

How do you prevent thrombophlebitis ?

Answer 24

G

Question 25

How does smoking affect peripheral vascular disease ?

Answer 25

Vasoconstriction