NURS 316 Exam 3 ATI – Questions & A+ Answers
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Terms in this set (40)
A nurse is caring for a client on the Explain the risk the client faces if she leaves the
medical-surgical unit. The client has facility.
been taking warfarin at home and her
laboratory values reveal her INR is 3.5. The expected reference range for INR while a client
The client states she is checking is taking warfarin is 2 to 3.T he nurse has an obligation
herself out of the hospital and refuses to explain to the client that her INR is very high and
to wait until her provider can discuss she is at risk for bleeding.
the situation with her. Which of the
following actions should the nurse
take?
A nurse is teaching a client who is to St. John's wort
start taking warfarin about herbal
supplements. The nurse should inform The nurse should instruct the client that St. John's
the client that which of the following wort can decrease anticoagulation when taking
herbal supplements can interact warfarin.
adversely with warfarin?
A nurse is preparing an in-service Feverfew
about the various supplements clients
might use which of the following Feverfew can increase the risk of bleeding due to the
herbal supplements should the nurse suppression of platelet aggregation.
include as potentially increasing the
anticoagulant effects of aspirin and
other oral anticoagulants?
, A nurse is caring for a 7-year-old Temperature is consistent with leukemia and sickle
child. cell anemia. The child has an elevated temperature. A
child who has leukemia can present with a fever and
The nurse is reviewing the assessment a persistent mild infection. A low-grade fever can be
findings and diagnostic results. present in a child experiencing a sickle cell crisis due
For each assessment finding, click to to inflammation.
specify if the finding is consistent Bruising is consistent with leukemia and hemophilia.
with leukemia, sickle cell anemia, or A child who has leukemia often presents with
hemophilia. Each finding may bruising and petechia related to a low production of
support more than one disease platelets. A child who has hemophilia can present
process. with bruising related to an alteration in clotting from
a factor VIII deficiency.
Bleeding is consistent with leukemia and
hemophilia. Due to low platelet production, children
who have leukemia can have increased bleeding.
Hemophilia can result in excessive bleeding from
even slight trauma due to a deficiency of the clotting
factor VIII.
WBC count is consistent with leukemia and sickle
cell anemia. The child's WBC count is elevated. A
WBC count greater than 10,000/mm³ is a typical
manifestation of leukemia. It is related to infiltration
of the bone marrow by immature WBCs. WBC count
in a child who has sickle cell anemia can be as high
as 12,000 to 20,000/mm³ due to chronic inflammation.
Pain is consistent with leukemia, sickle cell anemia,
and hemophilia. The child reported generalized pain
of the extremities. Children who have leukemia might
report bone pain related to infiltration of the bones
with nonfunctional immature WBCs. During a sickle
cell crisis, a child could experience painful bones
and joints of the hands and feet due to decreased
blood flow. With hemophilia, hemorrhages can occur
into the joints, which causes stiffness and aching in
the affected joints.
Save
Terms in this set (40)
A nurse is caring for a client on the Explain the risk the client faces if she leaves the
medical-surgical unit. The client has facility.
been taking warfarin at home and her
laboratory values reveal her INR is 3.5. The expected reference range for INR while a client
The client states she is checking is taking warfarin is 2 to 3.T he nurse has an obligation
herself out of the hospital and refuses to explain to the client that her INR is very high and
to wait until her provider can discuss she is at risk for bleeding.
the situation with her. Which of the
following actions should the nurse
take?
A nurse is teaching a client who is to St. John's wort
start taking warfarin about herbal
supplements. The nurse should inform The nurse should instruct the client that St. John's
the client that which of the following wort can decrease anticoagulation when taking
herbal supplements can interact warfarin.
adversely with warfarin?
A nurse is preparing an in-service Feverfew
about the various supplements clients
might use which of the following Feverfew can increase the risk of bleeding due to the
herbal supplements should the nurse suppression of platelet aggregation.
include as potentially increasing the
anticoagulant effects of aspirin and
other oral anticoagulants?
, A nurse is caring for a 7-year-old Temperature is consistent with leukemia and sickle
child. cell anemia. The child has an elevated temperature. A
child who has leukemia can present with a fever and
The nurse is reviewing the assessment a persistent mild infection. A low-grade fever can be
findings and diagnostic results. present in a child experiencing a sickle cell crisis due
For each assessment finding, click to to inflammation.
specify if the finding is consistent Bruising is consistent with leukemia and hemophilia.
with leukemia, sickle cell anemia, or A child who has leukemia often presents with
hemophilia. Each finding may bruising and petechia related to a low production of
support more than one disease platelets. A child who has hemophilia can present
process. with bruising related to an alteration in clotting from
a factor VIII deficiency.
Bleeding is consistent with leukemia and
hemophilia. Due to low platelet production, children
who have leukemia can have increased bleeding.
Hemophilia can result in excessive bleeding from
even slight trauma due to a deficiency of the clotting
factor VIII.
WBC count is consistent with leukemia and sickle
cell anemia. The child's WBC count is elevated. A
WBC count greater than 10,000/mm³ is a typical
manifestation of leukemia. It is related to infiltration
of the bone marrow by immature WBCs. WBC count
in a child who has sickle cell anemia can be as high
as 12,000 to 20,000/mm³ due to chronic inflammation.
Pain is consistent with leukemia, sickle cell anemia,
and hemophilia. The child reported generalized pain
of the extremities. Children who have leukemia might
report bone pain related to infiltration of the bones
with nonfunctional immature WBCs. During a sickle
cell crisis, a child could experience painful bones
and joints of the hands and feet due to decreased
blood flow. With hemophilia, hemorrhages can occur
into the joints, which causes stiffness and aching in
the affected joints.
