Question 1

You are caring for a client who has had prolonged treatment for osteoarthritis with Celecoxib. The client complains of fatigue, fever, chills, headache, and a vaginal infection. What would you suspect is wrong with this client?

Accepted Answer

A)   Multiple myeloma
B)   Agranulocytosis
C)   Leukopenia
D)   LeukemiaE) None of the above
F) A) and B) B

Question 2

You are caring for a client with thalassemia who is being transfused. What your role during a transfusion?

Accepted Answer

A)   To closely monitor the rate of administration
B)   To administer vitamin B12injections
C)   To instruct the client to rest immediately if chest pain develops
D)   To assess for enlargement and tenderness over the liver and spleenE) A) and B)
F) None of the above

Question 3

The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. Why?

Accepted Answer

A)   Trauma and microabrasions may contribute to anemia.
B)   Fragile tissues and altered clotting mechanisms may result in hemorrhage.
C)   The client is at risk for spontaneous and uncontrolled bleeding.
D)   The client is at risk for infection from microorganisms.E) A) and D)
F) B) and C) A

Question 4

A client at the clinic has just been diagnosed with iron deficiency anemia. What would you recommend the client consume to promote the absorption of iron?

Accepted Answer

A)   Vitamin E
B)   Meat, egg yolks, oysters, and shellfish
C)   Rich sources of vitamin C
D)   Sources of vitamin B12E) C) and D)
F) A) and D)

Question 5

A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in their arms and legs. What do these symptoms indicate?

Accepted Answer

A)   Loss of vibratory and position senses
B)   Neurologic involvement
C)   Severity of the disease
D)   Insufficient intake of dietary nutrientsE) All of the above
F) A) and D) B

Question 6

The nursing instructor is talking with their clinical group about coagulopathies. How should the instructor define coagulopathies?

Accepted Answer

A)   Coagulopathies are bleeding disorders that are characterized by abnormalities in the numbers and types of red blood cells in the body.
B)   Coagulopathies are bleeding disorders that involve platelets or clotting factors.
C)   Coagulopathies are bleeding disorders that are characterized by a deficiency of globulins in the plasma.
D)   Coagulopathies are bleeding disorders that involve the destruction of stem cells in the bone marrow.E) A) and D)
F) None of the above

Question 7

You are assessing vital signs on a hemophiliac who has come to the clinic complaining of an upper respiratory infection. What is the suggested method to check the temperature for a client with hemophilia?

Accepted Answer

A)   Taking the temperature orally
B)   Taking the temperature tympanically
C)   Taking the temperature rectally
D)   Taking the temperature on the foreheadE) A) and B)
F) B) and C)

Question 8

You are studying the different forms of leukemia in your pathophysiology class. Which of the following would you be studying? Select all that apply.

Accepted Answer

A)   Chronic myelocytic
B)   Acute pernicious
C)   Chronic aplastic
D)   Acute lymphocytic
E)   Acute myelocyticF) A) and E)
G) B) and D)

Question 9

The clinic nurse is caring for a client diagnosed with leucopenia. What does the nurse know this client has?

Accepted Answer

A)   Too many erythrocytes
B)   A decrease in granulocytes
C)   A general reduction in all white blood cells
D)   A general reduction in neutrophils and basophilsE) C) and D)
F) None of the above

Question 10

A nurse caring for a client who has hemophilia is getting ready to take the client's vital signs. What should the nurse do before taking a blood pressure?

Accepted Answer

A)   Ask if taking a blood pressure has ever produced bleeding under the skin or in the arm joints.
B)   Ask if taking a blood pressure has ever produced pain in the upper arm.
C)   Ask if taking a blood pressure has ever caused bruising in the hand and wrist.
D)   Ask if taking a blood pressure has ever produced the need for medication.E) A) and B)
F) A) and C)

Question 11

A client comes to the walk-in clinic complaining of weakness and fatigue. While assessing this client, you find evidence of petechiae and ecchymoses. You note that the spleen appears enlarged. What would you suspect is wrong with this client?

Accepted Answer

A)   Aplastic anemia
B)   Pernicious anemia
C)   Iron deficiency anemia
D)   AgranulocytosisE) B) and C)
F) A) and C)

Question 12

Your client was admitted to the Emergency Department after an accident with a chain saw. The client is exhibiting signs and symptoms of acute hypovolemic anemia from severe blood loss. What signs and symptoms would you assess for?

Accepted Answer

A)   Malabsorption disorders
B)   Postural hypotension
C)   Fatigue
D)   Reduced urine outputE) C) and D)
F) A) and D)

Question 13

An 81-year-old male with acute lymphoblastic leukemia is terminal. The family asks you why the prognosis is so poor for this client. What would be your best response?

Accepted Answer

A)   "Your family member is old and just can't fight any more."
B)   "This disease has been going on for a long time."
C)   "Leukemia is cancer of the blood and cancer is hard to beat."
D)   "Your family member doesn't have enough blood cells of all kinds."E) None of the above
F) B) and D)

Question 14

The Pediatric Nurse Practitioner is doing a physical examination of a client with sickle cell anemia. Why would the nurse practitioner auscultate the lungs and heart?

Accepted Answer

A)   To detect the abnormal sounds suggestive of acute chest syndrome and heart failure
B)   To detect the evidence of infection such as fever and tachycardia
C)   To detect the evidence of dehydration that might have triggered a sickle cell crisis
D)   To detect the motor strength and stroke-related signs and symptomsE) A) and B)
F) B) and C)

Question 15

You are assisting your client with multiple myeloma to ambulate. What is the most important nursing diagnosis to help prevent fractures in this client?

Accepted Answer

A)   Increased mobility
B)   Adequate hydration
C)   Safety
D)   Adequate nutritionE) A) and B)
F) A) and C)

Question 16

The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis?

Accepted Answer

A)   Polycythemia Vera
B)   Sickle Cell Disease
C)   Aplastic anemia
D)   Pernicious anemiaE) All of the above
F) B) and C)

Question 17

A client with a diagnosis of thrombocytopenia has been admitted to your unit for IV corticosteroid treatment. As the nurse caring for this client, you would expect the physician's orders to include which of the following?

Accepted Answer

A)   A sleeping medication
B)   Small frequent meals throughout the day
C)   A tapering course of solumedrol at discharge
D)   An order for oxycodone for steroid induced headachesE) All of the above
F) None of the above

Question 18

You are caring for a 13-year-old diagnosed with sickle cell anemia. The client asks you what they can do to help prevent sickle cell crisis. What would be an appropriate answer to this client?

Accepted Answer

A)   Avoid any sports that tire you out.
B)   Drink at least 8 glasses of water every day.
C)   Avoid any activity that makes you short of breath.
D)   Stay on oxygen therapy 24/7.E) B) and C)
F) All of the above

Question 19

The nurse, caring for a client in the emergency room with a severe nosebleed, becomes concerned when the client asks for a bedpan. The nurse documents the stool as loose, tarry, and black looking. The nurse suspects the client may have thrombocytopenia. What should be the nurse's priority action?

Accepted Answer

A)   Stop the nosebleed
B)   Put in an IV line
C)   Ask someone to clean the bedpan
D)   Notify the physicianE) A) and B)
F) A) and C)

Question 20

What is the rationale for the classification of leukemia?

Accepted Answer

A)   Whether it attacks younger or older people
B)   Whether it is acute or chronic
C)   Which bone marrow it arises from, red, or yellow
D)   Which bone marrow stem cell line is dysfunctionalE) None of the above
F) C) and D)

Exam 31: Caring for Clients With Disorders of the Hematopoietic System

You are caring for a client who has had prolonged treatment for osteoarthritis with Celecoxib. The client complains of fatigue, fever, chills, headache, and a vaginal infection. What would you suspect is wrong with this client?

Correct AnswerverifiedB

You are caring for a client with thalassemia who is being transfused. What your role during a transfusion?

Correct AnswerverifiedShow Answer

The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. Why?

Correct AnswerverifiedA

A client at the clinic has just been diagnosed with iron deficiency anemia. What would you recommend the client consume to promote the absorption of iron?

Correct AnswerverifiedShow Answer

A client with a diagnosis of pernicious anemia comes to the clinic complaining of numbness and tingling in their arms and legs. What do these symptoms indicate?

Correct AnswerverifiedB

The nursing instructor is talking with their clinical group about coagulopathies. How should the instructor define coagulopathies?

Correct AnswerverifiedShow Answer

You are assessing vital signs on a hemophiliac who has come to the clinic complaining of an upper respiratory infection. What is the suggested method to check the temperature for a client with hemophilia?

Correct AnswerverifiedShow Answer

You are studying the different forms of leukemia in your pathophysiology class. Which of the following would you be studying? Select all that apply.

Correct AnswerverifiedShow Answer

The clinic nurse is caring for a client diagnosed with leucopenia. What does the nurse know this client has?

Correct AnswerverifiedShow Answer

A nurse caring for a client who has hemophilia is getting ready to take the client's vital signs. What should the nurse do before taking a blood pressure?

Correct AnswerverifiedShow Answer

A client comes to the walk-in clinic complaining of weakness and fatigue. While assessing this client, you find evidence of petechiae and ecchymoses. You note that the spleen appears enlarged. What would you suspect is wrong with this client?

Correct AnswerverifiedShow Answer

Your client was admitted to the Emergency Department after an accident with a chain saw. The client is exhibiting signs and symptoms of acute hypovolemic anemia from severe blood loss. What signs and symptoms would you assess for?

Correct AnswerverifiedShow Answer

An 81-year-old male with acute lymphoblastic leukemia is terminal. The family asks you why the prognosis is so poor for this client. What would be your best response?

Correct AnswerverifiedShow Answer

The Pediatric Nurse Practitioner is doing a physical examination of a client with sickle cell anemia. Why would the nurse practitioner auscultate the lungs and heart?

Correct AnswerverifiedShow Answer

You are assisting your client with multiple myeloma to ambulate. What is the most important nursing diagnosis to help prevent fractures in this client?

Correct AnswerverifiedShow Answer

The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis?

Correct AnswerverifiedShow Answer

A client with a diagnosis of thrombocytopenia has been admitted to your unit for IV corticosteroid treatment. As the nurse caring for this client, you would expect the physician's orders to include which of the following?

Correct AnswerverifiedShow Answer

You are caring for a 13-year-old diagnosed with sickle cell anemia. The client asks you what they can do to help prevent sickle cell crisis. What would be an appropriate answer to this client?

Correct AnswerverifiedShow Answer

The nurse, caring for a client in the emergency room with a severe nosebleed, becomes concerned when the client asks for a bedpan. The nurse documents the stool as loose, tarry, and black looking. The nurse suspects the client may have thrombocytopenia. What should be the nurse's priority action?

Correct AnswerverifiedShow Answer

What is the rationale for the classification of leukemia?

Correct AnswerverifiedShow Answer

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