hematology Kaplan – Flashcards

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home care nurse visits a client diagnosed with aids
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Soiled linens are placed in a laundry hamper
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nurse identifies which client is MOST likely to have latex hypersensitivity
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a client diagnosed with spina bifida
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Nurse counsels a client diagnosed w/iron deficiency anemia. nurse determines teaching is effective if client selects which menu
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flank steak, green leafy veggies and prunes
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client has prophylactic reaction to antibiotic. it's important for the nurse to take which action after notifying the health care provider?
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give epinephrine subcutaneously
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Nurse cares for client diagnosed w/polycythemia vera, The nurse expects to make which observation
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dark, flushed face
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Nurse teaches disease prevention. Student states "I have heard the term incubation period" but I do not know what it means. What is it exactly?
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Incubation period is the time between when a person gets infected & when actual symptoms appear
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Nurse cares for sickle cell crisis patient. Child of patient has upper respiratory infection. The nurse will:
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give the child a mask to wear when visiting the client
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Nurse prepares Schilling test. Which info is important for client to know before starting the test?
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how to collect a 24 hour urine
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Nurse reviews the health care provider's orders for a client diagnosed with hemophillia. It is important for the nurse to question which order?
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meperidine 75mg IM q 4 hr prn for severe pain
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Nurse counsels a client w/fatigue & shortness of breath due to AIDS. Which action is most important
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instruct the client to sit while preparing meals
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After bone marrow aspiration, nurse notes client has temp of 103 degrees & there is yellow drainage from aspiration site. What interpretation is most accurate?
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the client has developed osteomyelitis
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The parents of a newly circumcised infant are informed that their child has hemophillia. One parent cries & says child will "bleed to death" one parent says "give me the facts". What is the MOST important info to give first
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the availability of replacement therapy of clotting factors
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The nurse understands which is the MOST common type of anemia
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iron deficiency anemia
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The nurse understands that hematocrit measures which of the following?
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ratio of red blood cells to fluid volume
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Which of the following symptoms indicates to the home health nurse that a client has an infection?
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the client has lymphadenopathy
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The nurse plans discharge for an elderly client diagnosed with anemia. Nurse learns the client lives in two-story house, and the bedrooms are on the 2nd floor. Nurse should ask:
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where do you plan to sleep
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Nurse cares for client w/sickle cell crisis. Nurse determines care is appropriate if which observation is made?
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the client's intake is 1600 ml for 8 hours
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Nurse understands which best describes what clients diagnosed with disseminated intravascular cogulation (DIC) experience?
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hemorrhage and clotting
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Nurse cares for clients on medical/surgical unit. Nurse identifies which client have a disease that is considered autoimmune
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the client diagnosed with multiple sclerosis
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Nurse cares for client diagnosed with confusion due to AIDS dementia complex. It is most important for the nurse to take which action?
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give the client simple directions
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Young adult diagnosed w/hemophilla bumps his knee and develops painful swelling of the knee. in caring for the client which action is most appropriate for the nurse to take initially?
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apply ice to the knee and elevate the leg
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Nurse cares for a client diagnosed with AIDS reporting diarrhea. It is most important for the nurse to include which implementation in the client's plan of care?
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decrease roughage in the diet
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School nurse teaches a wellness class to a group of high school students. The nurse intervenes if a student makes which statement?
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i'm not going to use public toilets ever again
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Nurse performs diet teaching for a client w/iron deficiency anemia. Nurse determines teaching is successful if client selects which menu?
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liver and onions, spinach, and rice pudding with raisins
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Nurse obtains history from client admitted w/a diagnosis of sickle cell crisis. The nurse identifies which factor contributed to the sickle cell crisis?
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client recently had an upper respiratory infection
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The nurse makes a home care visit to an elderly client diagnosed with iron deficiency anemia. The client states that even though an "iron pill is taken daily the client is feeling more and more fatigued. Which action does the nurse take first?
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Obtain a stool specimen to test for occult blood
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Client ask nurse how long the client will need injections of vitamin b12. Which response by nurse is best?
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for the rest of your life
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Nurse cares for a client diagnosed with immune thrombocytopenia purpura. Which nursing diagnosis is priority when caring for this client?
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risk for injury
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The spouse of a client diagnosed with pemicious anemia ask why vitamin b12 can't be given in pill form. Which response by the nurse is best?
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your spouse's stomach doesn't secrete the necessary substance for b12 to be adsorbed orally
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Nurse in hematology clinic prepares a class series on immunologic disease for new clients. Which organs should the nurse describe as being considered part of the immune system of the body?
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spleen and thymus
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