Exam 30: Hematologic Problems

A patient who has acute myelogenous leukemia (AML)is considering treatment with a hematopoietic stem cell transplant (HSCT). The best approach for the nurse to assist the patient with a treatment decision is to

A patient who has non-Hodgkin's lymphoma is receiving combination treatment with rituximab (Rituxan)and chemotherapy. Which patient assessment finding requires the most rapid action by the nurse?

An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/µL during chemotherapy is to

A patient in the emergency department complains of back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. The nurse's first action should be to

A postoperative patient receiving a transfusion of packed red blood cells develops chills,fever,headache,and anxiety 35 minutes after the transfusion is started. After stopping the transfusion,what action should the nurse take?

The nurse has obtained the health history,physical assessment data,and laboratory results shown in the accompanying figure for a patient admitted with aplastic anemia. Which information is most important to communicate to the health care provider?

Which patient should the nurse assign as the roommate for a patient who has aplastic anemia?

It is important for the nurse providing care for a patient with sickle cell crisis to

Which action will the nurse include in the plan of care for a patient admitted with multiple myeloma?

Which patient requires the most rapid assessment and care by the emergency department nurse?

A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient's laboratory test findings to include

After receiving change-of-shift report for several patients with neutropenia,which patient should the nurse assess first?

A patient who has acute myelogenous leukemia (AML)asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?

An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to

Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?

A patient who has been receiving IV heparin infusion and oral warfarin (Coumadin)for a deep vein thrombosis (DVT)is diagnosed with heparin-induced thrombocytopenia (HIT)when the platelet level drops to 110,000/µL. Which action will the nurse include in the plan of care?

Which action will the nurse include in the plan of care for a patient who has thalassemia major?

A patient with possible disseminated intravascular coagulation arrives in the emergency department with a blood pressure of 82/40,temperature of 102° F (38.9° C),and severe back pain. Which prescribed action will the nurse implement first?

Which problem reported by a patient with hemophilia is most important for the nurse to communicate to the health care provider?

A patient with immune thrombocytopenic purpura (ITP)has an order for a platelet transfusion. Which information indicates that the nurse should consult with the health care provider before obtaining and administering platelets?