NUR 775 Unit 3 TestBank /NUR 775 Unit 3 TestBank (Different Chapters) Questions/Answers (Verified Solutions ) Download To Score

apter 238: Blood Coagulation Disorders 1. A male patient has a history of recurrent epistaxis. Prior to a scheduled surgery, the provider asks about a family history of bleeding disorders. The patient reports no female relatives who had excessive bleeding episodes, but states that a maternal uncle and his maternal grandfather both had post-surgical complications related to bleeding. Based on this history, which diagnosis is possible? a. a. Hemophilia b. b. Thrombocytopenia c. c. Thrombophilia d. d. Von Willebrand disease 2. A patient is noted to have prolonged bleeding after an intravenous needle is removed. A subsequent laboratory test reveals a prolonged activated partial thromboplastin (aPTT) time with a normal prothrombin time (PT). Based on this result, the provider may suspect alteration in function of which factor? a. a. Factor V b. b. Factor VII c. c. Factor VIII d. d. Factor X 1. 3. A patient has type 1 Von Willebrand disease (vWD). What treatment is generally effective to prevent and treat bleeding episodes in this patient? a. a. Coagulation factor b. b. Desmopressin c. c. Heparin Chapter 239: Leukemias 3. 1. A patient is suspected of having leukemia and the provider orders biochemical studies and a bone marrow aspirate and biopsy. The results include WBCs greater than 200,000 cells/mm3 normal RBCs, hyperplastic myeloid cells, and the absence of serum leukocyte alkaline phosphatase. Which test will the provider order to confirm a diagnosis in this patient? a. Chest radiograph b. Coagulation studies c. Philadelphia chromosome test d. Serum protein electrophoresis 1. 2. A child has a recent history of leg pain, unexplained bruising, and nosebleeds. The provider notes petechiae and diffuse lymphadenopathy. A complete blood count reveals a WBC of 30,000 cells/mm3 and near normal RBC and platelet counts. What will the provider do next to manage this patient? e. a. Order coagulation studies to evaluate for coagulopathies f. b. Perform biochemical studies to look for hyperuricemia g. c. Refer to a specialist for a bone marrow aspirate and biopsy h. d. Repeat the complete blood count in two weeks 2. 3. A patient with acute myelogenous leukemia (AML) who has a high white blood cell count and diffuse lymphadenopathy is hospitalized during the induction phase of chemotherapy. What monitoring and interventions are critical to assess for complications during this phase of care for this patient? Select all that apply. e. a. Administration of sodium bicarbonate and allopurinol f. b. Assessment for bruising and petechiae g. c. Close monitoring of absolute neutrophil counts h. d. Daily renal function and chemistry values i. e. Meticulous assessment of hydration status Chapter 102: Acute Bronchitis 4. 1. An adult patient who had pertussis immunizations as a child is exposed to pertussis and develops a runny nose, low-grade fever, and upper respiratory illness symptoms without a paroxysmal cough. What is recommended for this patient? e. a. Azithromycin daily for 5 days f. b. Isolation if paroxysmal cough develops g. c. Pertussis vaccine booster h. d. Symptomatic care only 2. 2. A patient develops a dry, non-productive cough and is diagnosed with bronchitis. Several days later, the cough becomes productive with mucoid sputum. What may be prescribed to help with symptoms? i. a. Antibiotic therapy j. b. Antitussive medication k. c. Bronchodilator treatment l. d. Mucokinetic agents 3. 3. A patient develops acute bronchitis and is diagnosed as having influenza. Which medication will help reduce the duration of symptoms in this patient? j. a. Azithromycin k. b. Clindamycin l. c. Oseltamivir m. d. Trimethoprim-sulfamethoxazole