QUESTIONS AND ANSWERS
(LATEST)
Patients who experience anemic episodes when exposed to certain
drugs most likely have
a. thalassemia.
b. spherocytosis.
c. sickle cell anemia.
d. glucose-6-phosphate dehydrogenase deficiency. - ANSWERS-d.
glucose-6-phosphate dehydrogenase deficiency.
A patient having a sickle cell crisis asks why his bones hurt and he
has chest pain. What response by the nurse is best?
a. ―Your arteries are blocked because of the sickled blood cells so
tissues don't get
oxygen.
b. ―Your pain causes a rapid heartbeat so your heart doesn't get the
blood it needs.
c. ―Sickled blood cells clump together in the joints, heart valves, and
kidneys and are painful.
,d. ―You most likely have pneumonia due to decreased activity from
your bone pain. - ANSWERS-a. ―Your arteries are blocked because
of the sickled blood cells so tissues don't get
oxygen.
A patient is diagnosed with aplastic anemia. The nurse expects to find
what patient symptoms upon assessment? (Select all that apply.)
a. Lethargy
b. Heart palpitations
c. Transient murmurs
d. Bradycardia
e. Orthopnea - ANSWERS-a. Lethargy
b. Heart palpitations
c. Transient murmurs
The nurse is educating a patient diagnosed with anemia of chronic
renal failure about the disease. Which statements made by the nurse
are correct regarding the patient's treatment?
(Select all that apply.)
a. ―Since your glomerular filtration is 13 mL/min, you'll be started
on dialysis.
b. ―Your hematocrit is 29%, so you're going to start on
erythropoietin therapy.
c. ―Your hemoglobin is 9 g/dL, so you'll need erythropoietin
therapy.‖
,d. ―We need to get your hemoglobin up to at least 15 g/dL.‖
e. ―You're going to need iron, folate, and B12 therapy to help
improve your blood
counts - ANSWERS-a. ―Since your glomerular filtration is 13
mL/min, you'll be started on dialysis.
b. ―Your hematocrit is 29%, so you're going to start on
erythropoietin therapy.
c. ―Your hemoglobin is 9 g/dL, so you'll need erythropoietin therapy.
e. ―You're going to need iron, folate, and B12 therapy to help
improve your blood
counts.
Anemia related to vitamin B12 or folate deficiency is characterized by
what laboratory features? (Select all that apply.)
a. RBC counts of 775,000 to 900,000 cells/mm3
b. RBC counts of 500,000 to 750,000 cells/mm3
c. WBC counts of 3000 to 4000 cells/mm3
d. WBC counts of 4000 to 5000 cells/mm3
e. Platelet counts of 60,000 cells/mm3 - ANSWERS-b. RBC counts of
500,000 to 750,000 cells/mm3
d. WBC counts of 4000 to 5000 cells/mm3
Regarding iron-deficiency anemia, what laboratory features are
typically decreased? (Select all that apply.)
, a. MCV
b. MCH
c. MCHC
d. WBC
e. Thrombocytes - ANSWERS-a. MCV
b. MCH
c. MCHC
One of the cardinal features of sickle cell anemia includes acute and
chronic dysfunction of which organs? (Select all that apply.)
a. Spleen
b. Bones
c. Brain
d. Lungs
e. Stomach - ANSWERS-a. Spleen
b. Bones
c. Brain
d. Lungs
A newborn patient is diagnosed with hemolytic disease. The nurse
may expect to find what signs and symptoms? (Select all that apply.)
a. Petechial hemorrhages