Deck 29: Hematologic System Introduction

Question 1

What is the major difference between fresh-frozen plasma (FFP)and cryoprecipitate (CPP)?

A) FFP contains more albumin.
B) FFP has a longer infusion time.
C) FFP contains no platelets.
D) FFP has a very high probability of causing an allergic reaction.

Answer 1

FFP contains no platelets.

Question 2

Which is considered an approximate normal hematocrit value?

A) Three times the hemoglobin value
B) The same as the hemoglobin value
C) Four times lower than the red blood cell count
D) Same as the red blood cell count

Answer 2

Three times the hemoglobin value

Question 3

At 1000 a nurse receives 2 units of blood for a patient to be transfused.What is the most appropriate nursing action?

A) Set up 1 unit for the infusion to start by 1030 and send the other unit back until the first one has infused.
B) Set up both units to infuse at the same time and to start at 1100.
C) Set up one unit for infusion and place the other in the refrigerator for the later infusion.
D) Send both units back and ask for a reissue of 1 unit only.

Answer 3

Set up 1 unit for the infusion to start by 1030 and send the other unit back until the first one has infused.

Question 4

A nurse is taking the history of a patient who has come in for evaluation of large areas of purpura on her limbs.The patient reports using alternative therapy for her menopausal symptoms.What alternative therapy is most likely responsible for the patient's symptoms?

A) Black cohosh
B) Valerian
C) Lavender
D) Rosemary

Question 5

A nurse plans the interventions to prepare a patient for a bone marrow aspiration._____ (Place the options in the correct sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

A)Assist the patient to lie on his or her abdomen and drape the hip and lower limbs.
B)Confirm the presence of laboratory personnel to stain the specimen.
C)Apply a pressure dressing and help the patient lie on his or her back.
D)Ensure that a signed permission form is obtained.
E)Explain that the procedure will take about 30 minutes.

Question 6

A nurse is completing an initial assessment on a new patient being seen in the hospital clinic.The presentation of this female patient includes vague symptoms of tiredness and large areas of ecchymosis.Which question is most important for the nurse to ask?

A) "Are you allergic to anything?"
B) "Do your gums easily bleed?"
C) "How many hours do you sleep?"
D) "How frequent are your periods?"

Question 7

A nurse is giving iron dextran intramuscularly (IM).Why should the nurse implement the Z-track method?

A) Makes the injection less painful
B) Prevents staining of the skin
C) Prevents postinjection pain
D) Allows another injection to be given at the same location

Question 8

When a nurse is preparing to give ferrous sulfate (Feosol)to a home health care patient, what is the most appropriate nursing action to implement?

A) Mix the drug with a high-protein milkshake.
B) Give it undiluted with a small snack.
C) Mix it with coffee or cola to disguise the bitter taste.
D) Dilute it and offer through a straw and a few crackers.

Question 9

What medical history information is significant to potential bleeding problems? (Select all that apply.)

A) Drinks two glasses of wine a day
B) Eats red meat three times a week
C) Takes nonsteroidal anti-inflammatory drugs (NSAIDs)for the relief of arthritic pain four times a day
D) Has hepatitis B
E) Had a cardiac valve replaced 6 months earlier

Question 10

A nurse is assessing a patient 20 minutes after a bone marrow biopsy.Which statement by the patient is cause for the most concern?

A) "There is fresh blood on my dressing."
B) "I am thirsty."
C) "My hip feels bruised where they stuck the needle."
D) "I had a sharp pain in my leg when they pulled the needle out."

Question 11

To what level should the platelet count rise when the patient with a platelet count of 20,000/mm³ receives 1 unit of platelets?

A) 25,000 to 30,000/mm³
B) 35,000 to 40,000/mm³
C) 45,000 to 50,000/mm³
D) 55,000 to 100,000/mm³

Question 12

A nurse is caring for a patient receiving a transfusion and assesses that the patient is wheezing and is complaining of back pain.What nursing action should take place after stopping the transfusion?

A) Discontinue the intravenous (IV)transfusion.
B) Notify the charge nurse.
C) Administer heparin.
D) Raise the patient's head.