Test one review questions Flashcards
The nurse reviews laboratory data for n elderly patient. the Nurse would be most concerned with which finding?
a. hematocrit 34
b. hemoglobin of 13.8
c. platelet count of 28,000
d. WBC of 2.8
Low platelet count. 150,000-450,000 is normal range.
Patient with pancytopenia has a bone marrow aspirations of the left posterior iliac crest. Which action would be important for the nurse to take after the procedure.
a. elevate the head of the bed to 45 degrees
b. apply a sterile 2 inch gauze dressing to the site.
c. uses 1/2 inch sterile gauze to pack the wound
d. Have the patient lay on their left side for one hour
d. have the patient lay on their left side for one hour.
- –lay on left side applies pressure to the site to prevent bleeding from the site.
Nurse assess a patient with pernicious anemia. Which assessment finding would you expect in this patient.
a. shiny smooth tongue
b. numbness of the extremities
c. yellow tinged sclera
d. gum bleeding and tenderness
b. numbness of the extremities.
Which anemia would you see yellow tinged sclera
Hemolytic anemia
Which condition would you see gum bleeding and tenderness
Thrombocytopenia
Patient who had total hip replacement had an inter operative hemorrhage 14 hours ago. Which lab result would you expect to find
a. Elevated reticulyte count
b. Hematocrit of 46%
c. Decreased WBC count
d. Hemoglobin of 14.8
A. Elevated reticulate count
retic count increases with infection or inflammation.
What information provided is most urgent for the nurse to provide to healthcare provider.
a. BP of 110/68 and HR of 98
b. Platelet count of 19500
c. White blood cell count of 51000
d. HX of abdominal pain and a dark stool
Platelet count of 19500.
Patient can spontaneously bleed under 20,000
Which choice indicated the patient understands the best dietary choices for Iron Deficiency anemia. A. Orange juice and cornmeal B. Strawberries and bannanas C. Omelet D. Cantaloupe and cottage cheese
C. Omelet
The most appropriate nursing intervention for a patient hospitalized with severe hemolytic anemia
A. Administer vitamin K
B. Neutropenic precautions
c. Avoid injury
d. Alternate periods of activity and rest.
D. alternate periods of rest and activity.
Which statement by the patient shows the need for additional teaching about oral fera sulfate
A. I will call my doctor is my stools turn black
B. I will take a stool softener if I start to feel constipated
C. I should increase my fiber and fluid
I will call my doctor if my stools turn black
Nurse notes Jaundice in a patient being admitted with hemolytic anemia. The nurse will check which lab result
Bilirubin
Which information obtained by the nurse caring for a patient with thrombocytopenia should be immediately communicated to the healthcare provider
A. Platelet count is 52,000
B. Purpura on oral mucosa
C. Patient has large areas of ecchymosis on back
D. The patient is hard to arouse
A. is an expected outcome of thrombocytopenia
B. expected outcome
C. Expected outcome
D. CORRECT- the patient is hard to arouse and has risk for bleeding. could have intracranial hemorrhage.
when a patient with spleenomegally is scheduled for splenectomy which information will the nurse include in preoperative plan of care
A. avoid Tylenol 2 weeks prior to surgery
B. avoid deep breathing
C. Get immunizations and flu vaccines
C. They need to get immunizations and flu vaccines. Spleen large part of protection against diseases.
when obtaining a health history and physical assessment for a 36 year old female with possible MS, the nurse should
A. problems with emptying bladder/bowel
B. new onset chest pain
C. increases in labido
D. check skin for rashes and discoloration
A. problems emptying bladder or bowel problems.
31 year old woman with MS asks the nurse about risks associated with pregnancy. Which response by the nurse is accurate.
L&D will increase symptoms due to the traumatic event
