A nurse is reinforcing teaching with a female client who has thrombocytopenia
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Definition Term Definition A diuretic used to treat hypertensionTerm What are side effects of diuretics?Definition Hypotension,hypokalemia, constipation, dehyrationTerm Definition Insufficient rbc count or lack of hemoglobinTerm Definition headache, palpations, dyspnea, brittle nails, sore tongue, pallor, fatigue, dizziness, faintnessTerm What are different types of anemia?Definition nutritional, bone marrow suppression, pernicious from faulty absorption, blood lossTerm Definition Inherited hemolytic anemiaTerm Definition CBC and differential cell countsTerm What are things used to treat anemia?Definition Replacement of missing vitamin or mineral, diet adjustment. If serious blood transfusion or IV ironTerm What amount of blood loss can cause hypovolemic shock in a normal healthy adult?Definition Term What is blood cell hemolysis?Definition Destruction of red blood cellsTerm WHat does erythropoietin do?Definition Stimulate the creation of red blood cellsTerm Where are red blood cells, white blood cells and platelets made?Definition Term What are normal hemoglobin levels?Definition In women 12-15.5. In men 13.5-17.5Term What hemoglobin level would require a blood transfusion?Definition Term Definition An inherited x linked disorder which a causes a deficiency in clotting factorsTerm What clotting factor is affected in classic hemophilia?Definition Term What clotting factor is affected in Hemophilia B?Definition Term What is hemophilia characterized by?Definition A delay in coagulation causing prolonged and excessive bleedingTerm Definition Bleeding into the joints causing pain, swelling and limited movementTerm Definition It is a plasma expander, it replenishes blood volume quicklyTerm What can you do to assist clotting along with administering clotting factor?Definition Raise afflicted body part and applying cold packsTerm What are hemophiliacs at risk for?Definition Severe bleeding, hemarthrosis, intracranial bleedingTerm Definition A synthetic form of vasopressin given to stimulate production of factor VIII and Von Willebrand factorTerm What is the priority nursing action for a patient with hemophilia who is undergoing a dental procedure tomorrow?Definition Giving prescribed prophylactic clotting factor treatmentsTerm The student nurse is studying the hematologic system. The student is correct when listing which element(s) as being necessary for erythropoiesis to occur?Definition Iron, folic acid, vitamin c and B12Term A patient who is to receive vitamin B12 injections for treatment of pernicious anemia asks the nurse how long she will have to receive these injections. Which response by the nurse is correct?Definition You will need this injection for the rest of your lifeTerm The nurse is preparing to administer an injection to a patient with a blood dyscrasia. To prevent bruising, how long should the nurse apply pressure to the injection site after administering the injection?Definition Term The nurse reviews the complete blood count results of a patient receiving chemotherapy and notes a platelet count of 100,000/mm3 of blood. The nurse is aware that this result indicates which condition?Definition Term The patient with anemia asks the nurse why her doctor has prescribed an iron preparation for her. Which response by the nurse is most accurate?Definition “The iron will help your body manufacture hemoglobin.”Term When studying the various types of cells, the student nurse correctly identifies which cells as providing cellular immunity?Definition Term The nurse is preparing to care for a patient with sickle cell anemia. The nurse knows which statement(s) is(are) true of sickle cell anemia?Definition It is hereditary and it is the result of abnormal hemoglobinTerm A patient has severe anemia and is given a blood transfusion. Which symptom should the LPN/LVN report immediately if it occurs during the transfusion?Definition Pain in the lower back and feverTerm The nurse is caring for a patient receiving chemotherapy as a treatment for his leukemia and notes an increase in uric acid level in his laboratory results. What intervention should the nurse include in this patient’s plan of care?Definition Maintain adequate hydrationTerm A patient with leukemia is complaining of a headache. What does the nurse suspect may be occurring with this patient?Definition Abnormal white cells have infiltrated the central nervous systemTerm The nurse is planning care for the patient hospitalized with sickle cell crisis. What is the priority nursing intervention?Definition Term A 36-year-old mail carrier with a history of anemia tells the nurse she made an appointment with her physician because she has “been having trouble getting through the day lately.” What symptom would you expect the patient to report?Definition Term The husband of the patient with leukemia states, “The physician just told me the chemo didn’t work and there’s nothing left to try. That means my wife is going to die.” What is the nurse’s best response?Definition That must have been very hard for youTerm The nurse is caring for a patient with sepsis who begins bleeding around his intravenous (IV) site. The bleeding continues despite pressure being applied to the site. What disorder should the nurse suspect is causing the bleeding?Definition Disseminated intravascular coagulationTerm A 56-year-old man was recently diagnosed with multiple myeloma. Which diagnostic procedure will the nurse most likely have performed initially?Definition Obtaining complete blood count with differential and Bence-Jones protein levels in the urineTerm The nurse is providing patient teaching for a patient with thrombocytopenia. What should the nurse advise the patient to avoid?Definition aspirin, contact sports, anticoagulants, nsaidsTerm What is polycythemia vera?Definition Disease characterized by too many red blood cells and is considered a neoplastic disorderTerm What are s/s and of polycythemia vera?Definition Red skin, purple/deep red lips, fatigue, weakness, enlarged spleen, congested liver, excessive bleeding, headacheTerm What is genetic testing for the mutation of JAK2V617F for?Definition Term What are treatments for polycythemia vera?Definition Reducing number of rbcs, radiation, chemotherapy, blood removalTerm Definition A form of anemia that is acquired from a virus, a drug or inherited that causes bone marrow depression.Term What blood factors are affected by aplastic anemia?Definition Platelets, red blood cells and white blood cellsTerm What can exposure to these toxins cause: sulfa drugs, radiation, chemotherapy, certain anticonvulsants, etc.?Definition Term What is the treatment of choice for aplastic anemia in those younger than 45?Definition Term What is the priority nursing intervention for a patient with aplastic anemia?Definition Preventing hemorrhage and infectionTerm What chemical is toxic to bonemarrow and is found in unleaded gas?Definition Term Definition Cancer of white blood cellsTerm At what number leukocyte would blood have a milky white appearance?Definition Term Who is most at risk of developing acute lymphocytic leukemia?Definition People with an abnormal number of chromosomes and chromosomal translocationsTerm What are the three major effects of leukemia?Definition Increased number of immature abnormal leukocytes, accumulation of these cells in lymph nodes and other organs, infiltration of malignant cells throughout organs of the bodyTerm What are s/s of leukemia?Definition Usually asymptomatic but may have persistent infections, nose bleeds, weight loss, easy bruising, bone pain, enlarged spleen or thrombosisTerm How is leukemia diagnosed?Definition CBC with differential and bone marrow studies to rule out other disordersTerm What is a side effect of chemotherapy?Definition Increased uric acid levelsTerm What is multiple myeloma?Definition Disease in which neoplastic plasma cells infiltrate the bone marrow and destroy the boneTerm Who is most at risk for multiple myeloma?Definition 65 year old african american male farmer with a history of benzene exposureTerm What are s/s of multiple myeloma?Definition Backache, bone pain, bone fractures, severe pain that worsens with movementTerm How is multiple myeloma diagnosed?Definition Xray, bone marrow biopsy, blood and urine testsTerm What is a diagnostic sign of multiple myeloma?Definition Presence of Bence-Jones proteinsTerm What is the treatment for multiple myeloma?Definition Chemotherapy or pallative radiationTerm What is a priority nursing concern for the patient with multiple myeloma in the hospital?Definition Term What often develops as a result of multiple myeloma?Definition Hypercalcemia and osteoporosisTerm What is arteriosclerosis?Definition Hardening of the walls of arteriesTerm Definition Build up of plaque in the arteriesTerm The nurse is caring for a patient following an angiogram. Which action should the nurse include in the patient’s care?Definition Assess for allergies to radiopaque dyeTerm The nurse is preparing to implement a teaching plan for a patient with mild hypertension. What should be included in the plan for this patient?Definition Controlling stress, controlling weight, sodium restricted diet and monitoring and keeping cholesterol level normalTerm When performing a cardiovascular assessment, which action should the LPN/LVN take?Definition Assess the patient’s apical pulse rate and rhythm, noting the presence of pulse deficit.Term When a patient returns to the unit after a cardiac catheterization, which nursing intervention should immediately follow taking vital signs?Definition Assessing peripheral pulsesTerm The home care nurse is teaching the patient how to best monitor his edema. What is the best method for a patient at home to monitor his peripheral edema?Definition Taking daily weight measurementsTerm The patient who is scheduled for a nuclear (thallium) imaging scan asks the nurse about the purpose of this test. Which response by the LPN/LVN is correct?Definition This test evaluates blood flow in various parts of the heartTerm When a patient has altered tissue perfusion, which intervention should be included in the patient’s care?Definition Instruct the patient to avoid extremes of temperature.Term The nurse is providing education to a patient in the clinic for his annual examination on cardiovascular health. Which of these factors, if present in the patient’s history, are most closely related to the development of arteriosclerosis?Definition The patient has diabetes mellitus.Term A patient is scheduled for cardiac catheterization this morning. Before the procedure can be started, what must be accomplished?Definition Assess renal status, assess allergy status especially iodine, physician must obtain consent formTerm The nurse is assessing a patient who states he has been diagnosed with intermittent claudication. The nurse anticipates that the patient’s cramping pain will be brought on by what activity or position?Definition Term The nurse is caring for a patient recently diagnosed with peripheral arterial disease. Which activities should the nurse educate the patient to avoid?Definition Elevating the legs, wearing constrictive clothing, cold room temperaturesTerm The patient has recently been diagnosed with varicose veins and states, “I really don’t understand what varicose veins are.” Which response by the nurse most accurately describes varicose veins?Definition Varicose veins are veins that are enlarged and engorged with bloodTerm Which of these complaints, if made by a 58-year-old man, may reflect a symptom of hypertension?Definition My vision is a little blurryTerm A patient complains of burning and numbness in her hands and states that “they turn really red” if she is in an air-conditioned environment for too long. The nurse would anticipate which diagnosis?Definition Term A 46-year-old patient has been diagnosed with hypertension. His resting blood pressure (BP) is 180/100 mm Hg. His physician has ordered an electrocardiogram, chest x-ray, urinalysis, and renal function studies. He asks the nurse, “Why are all these tests necessary?” Which is the best response by the nurse?Definition These tests can determine changes in your kidneys that can cause hypertension.Term A patient has been diagnosed with mild hypertension. Which intervention(s) will likely be included in his plan of care?Definition Controlling his weight, sodium restricting diet, incorporating exercise into daily routine, controlling stressTerm A patient with varicose veins wears elastic support hose. The nurse knows these stockings serve which purpose?Definition Term When planning a home care program for the patient with peripheral vascular disease, which suggestion by the LPN/LVN would be most helpful to the patient if approved by the physician?Definition Begin an exercise program of walking or swimmingTerm The nurse is assessing a patient who is 2 days postoperative from hip replacement surgery. During the assessment, which signs and symptoms would alert the nurse to the possibility that the patient has developed thrombophlebitis in the right calf?Definition he patient has swelling, redness, and warmth of the affected extremity.Term For a patient with a clinical finding of leukocytosis the nurse should?Definition Anticipate a prescription for antibioticsTerm Which clinical findings would are relative to the hematological process would be associated with the aging process?Definition Decreased antibody build up from flu immunization and increased coaguability which predisposes to clotsTerm A patient is told that her hematocrit is very low, what symptoms would you expect the patient to report?Definition Fatigue related to reduced oxygen transportTerm A patient works in a chemical plant. Why does he wear protective equipment when handling chemicals and avoids coming into contact with radiation?Definition To decrease the risk for blood disordersTerm A patient displays characteristic purple spots and patches. This assessment is finding is called ______ and is often caused by ______.Definition Thrombocytopenic purpura, platelet deficiencyTerm A nurse formulates the following expected outcome for a patient admitted with hemarthrosis. What would be the most appropriate nursing intervention?Definition Handle patient gently, protecting jointsTerm A nurse initiates nuetropenic precautions for a patient who has undergone chemotherapy. Which nursing actions would be appropriate?Definition Use transmission based isolation precautions and maintain integrity of skin and mucosaTerm To confirm the diagnosis of pernicious anemia, a patient undergoes a Schilling test. What does this test involve?Definition Dose of radioactive vitamin B12, injection of B12 and 24 hour urine collectionTerm A patient who has had gastric bypass has a decreased red blood cell count. The nurse suspects that the anemia related to?Definition Term A nurse who finds a profusely bleeding abdominal wound should anticipate signs and symptoms of profuse blood loss?Definition Rapid weak pulse, cold clammy skin, decreased blood pressureTerm A patient is prescribed Feosol for mild anemia. Which statement indicates need for further teaching?Definition I should take the medication with milkTerm Which statements regarding leukemia are true regarding fatigue?Definition The fatigue can put you at risk for increased falling and because most patients with leukemia are already over 60 they are already at an increased risk and the fatigue could put you at risk for falling asleep while drivingTerm Upon finding blood in the urine and feces after multiple injuries, what lab result would support the nurses suspicion of DIC?Definition Increased activated partial thrombin timeTerm A patient with multiple myeloma display which signs and symptoms on assessment?Definition Bone pain and a positive Bence-Jones protein testTerm After the first few minutes of a RBC transfusion, a patient has a temp of 101.5, HR of 120, BP of 90/50 and lower back pain. Which is the priority nursing intervention?Definition Term A patient who has undergone chemotherapy, a bone marrow transplant and total body irradiation should wait how many weeks to stop with transmission based precautions?Definition Term Which statements regarding drug use are and the risk of cardiac disease are true?Definition Sudden cardiac death is associated with cocaine, cigarette smoking contributes heavily to heart disease, meth can cause myocardial infarctionTerm The ankle-brachial index test is ordered for a patient experiencing signs of peripheral artery disease. Which patient statement indicates further teaching about the test needs to occur?Definition My brachial and pedal pulses will be checked and comparedTerm During initial assessment of an older adult, the nurse finds that the skin appears smooth, shiny and thinned with little to no hair on the surface. Which nursing diagnosis should be on the care plan?Definition Altered peripheral tissue perfusionTerm When providing care for a patient with cardiac disease the nurse understands that the patient is at risk for alteration in cardiac output. Which of the following has the most potential to affect cardiac output?Definition Term A nurse assess an 83 year old patient and finds a diastolic heart murmur on auscultation of the heart. The priority action for the nurse should be to?Definition Document the finding in the chartTerm A 40 year old woman complains of leg pains that are associated with fullness during walking. She describes itching on the lower leg and has a twisted-appearing swelling in her legs. The patient most likely will be treated for?Definition Term A nurse reinforces discharge instructions to a patient with chronic venous insufficiency. Which instructions should be included?Definition Take low dose aspirin daily, consider swimming, avoid wearing tight clothing, reapply wraps in afternoon, elevate legs as much as possibleTerm If a patient complains of intermittent claudication, the nurse would expect to see which clinical finding?Definition Rubor when legs are dependentTerm A patient is started on an antihypertensive medications. Which statement indicates effectiveness of teaching?Definition Sudden changes in position may cause dizzinessTerm The nurse is receiving a patient who had angioplasty stenting of his right femoral artery. Which nursing intervention would take priority in the immediate postoperative period?Definition Checking right pedal pulsesTerm The nurse is reinforcing instructions to an older adult woman who doesn't speak her language and is legally blind. What is the best nursing action?Definition Use a certified translator to reinforce instructionsTerm A 54 year old man complains of pain when walking and numbness of his lower extremities. The nurse notes both extremities are pale and cool to the touch. The highest priority nursing diagnosis would be?Definition Altered peripheral tissue perfusionTerm A patient with PAD is prescribed a daily dose of aspirin. The nurse accurately explains the prescription by stating?Definition Aspirin helps prevent blood clot formationTerm What is intermittent claudication?Definition Cramping pain in the leg induced by exercise, typically caused by obstruction of the arteriesTerm What is peripheral artery disease?Definition A circulatory condition in which fatty deposits and calcium builds up in the walls of arteries reducing blood flow to the limbs |
