Nurs 401 Hematology Quiz 2 – Questions With
Verified Solutions
Save Groups
Terms in this set (117)
A patient who has sickle cell disease is B. Morphine sulfate 4mg IV
admitted with vaso-occlusive crisis
and reports severe abdominal and
flank pain. Which of the analgesic
medications on the pain treatment
protocol will be best for the nurse to
administer initially?
A. Ibuprofen 800mg PO
B. Morphine sulfate 4mg IV
C. Hydromorphone liquid 5mg PO
D. Fentanyl 25mcg/hr transdermal
patch
A patient with sickle cell disease is C. Infuse normal saline at 250 mL/hr
admitted with splenic sequestration.
The blood pressure is 86/40 mmHg
and heart rate is 124 beats/min. Which
of these actions will the nurse take
first?
A. Complete a head-to-toe
assessment
B. Draw blood fro type and cross-
match
C. Infuse normal saline at 250 mL/hr
D. Ask the patient about vaccination
history
,When administering a blood A. Take the patient's vital signs before the transfusion
transfusion to a patient, which action is started
can the nurse delegate to the UAP?
A. Take the patient's vital signs before
the transfusion is started
B. Assure that the blood is infused
within no more than 4 hours
C. Ask the patient at frequent intervals
about presence of chills or dyspnea
D. Assist with double-checking the
patient's identification and blood tag
number
Which of these patients who have just B. Patient with hemophilia A who is experiencing
arrived at the emergency department thigh swelling after a fall
should the nurse assess first?
A. Patient who reports several dark,
tarry stools and a history of peptic
ulcer disease
B. Patient with hemophilia A who is
experiencing thigh swelling after a fall
C. Patient who has pernicious anemia
and reports paresthesia of the hands
and feet
D. Patient with thalassemia major who
needs a scheduled blood transfusion
,A patient with chemotherapy-related C. The patient's white blood cell count is 39,000 mm
neutropenia is receiving filgrastim cubed
injections. Which finding by the nurse
is most important to report to the
health care provider?
A. The patient says "My bones are
aching"
B. The patient's platelet count is
110,000 mm cubed
C. The patient's white blood cell count
is 39,000 mm cubed
D. The patient reports that the
medication stings when it is injected
The nurse is reviewing the complete D. White blood cell count of 16,000 mm cubed
blood count for a patient who has
been admitted for knee arthroscopy.
Which value is most important to
report to the health care provider
before surgery?
A. Hematocrit of 33%
B. Hemoglobin level of 10.9 g/dL
C. Platelet count of 426,000 mm
cubed
D. White blood cell count of 16,000
mm cubed
, The nurse is providing orientation for a C. Priming the transfusion set using 5% dextrose in LR
new RN who is preparing to solution
administer packed red blood cells to a
patient who had blood loss during
surgery. Which action by the new RN
requires that the nurse intervene
immediately?
A. Waiting 20 minutes after obtaining
the RBC's before starting the infusion.
B. Starting an IV line for transfusion
using a 22-guage catheter
C. Priming the transfusion set using 5%
dextrose in LR solution
D. Telling the patient that the RBC's
may cause a serious transfusion
reaction
A 32-year-old patient with sickle cell B. Give oxygen at 4 L/min per nasal cannula
anemia is admitted to the hospital
during a sickle cell crisis. Blood
pressure is 104/62 mmHg, oxygen
saturation is 92%, and the patient
reports pain at a level 8. Which action
prescribed by the health care
provider will the nurse implement
first?
A. Administer morphine sulfate 4-8 mg
IV
B. Give oxygen at 4 L/min per nasal
cannula
C. Start an infusion of normal saline at
200 mL/hr
D. Apply warm packs to painful joints
Verified Solutions
Save Groups
Terms in this set (117)
A patient who has sickle cell disease is B. Morphine sulfate 4mg IV
admitted with vaso-occlusive crisis
and reports severe abdominal and
flank pain. Which of the analgesic
medications on the pain treatment
protocol will be best for the nurse to
administer initially?
A. Ibuprofen 800mg PO
B. Morphine sulfate 4mg IV
C. Hydromorphone liquid 5mg PO
D. Fentanyl 25mcg/hr transdermal
patch
A patient with sickle cell disease is C. Infuse normal saline at 250 mL/hr
admitted with splenic sequestration.
The blood pressure is 86/40 mmHg
and heart rate is 124 beats/min. Which
of these actions will the nurse take
first?
A. Complete a head-to-toe
assessment
B. Draw blood fro type and cross-
match
C. Infuse normal saline at 250 mL/hr
D. Ask the patient about vaccination
history
,When administering a blood A. Take the patient's vital signs before the transfusion
transfusion to a patient, which action is started
can the nurse delegate to the UAP?
A. Take the patient's vital signs before
the transfusion is started
B. Assure that the blood is infused
within no more than 4 hours
C. Ask the patient at frequent intervals
about presence of chills or dyspnea
D. Assist with double-checking the
patient's identification and blood tag
number
Which of these patients who have just B. Patient with hemophilia A who is experiencing
arrived at the emergency department thigh swelling after a fall
should the nurse assess first?
A. Patient who reports several dark,
tarry stools and a history of peptic
ulcer disease
B. Patient with hemophilia A who is
experiencing thigh swelling after a fall
C. Patient who has pernicious anemia
and reports paresthesia of the hands
and feet
D. Patient with thalassemia major who
needs a scheduled blood transfusion
,A patient with chemotherapy-related C. The patient's white blood cell count is 39,000 mm
neutropenia is receiving filgrastim cubed
injections. Which finding by the nurse
is most important to report to the
health care provider?
A. The patient says "My bones are
aching"
B. The patient's platelet count is
110,000 mm cubed
C. The patient's white blood cell count
is 39,000 mm cubed
D. The patient reports that the
medication stings when it is injected
The nurse is reviewing the complete D. White blood cell count of 16,000 mm cubed
blood count for a patient who has
been admitted for knee arthroscopy.
Which value is most important to
report to the health care provider
before surgery?
A. Hematocrit of 33%
B. Hemoglobin level of 10.9 g/dL
C. Platelet count of 426,000 mm
cubed
D. White blood cell count of 16,000
mm cubed
, The nurse is providing orientation for a C. Priming the transfusion set using 5% dextrose in LR
new RN who is preparing to solution
administer packed red blood cells to a
patient who had blood loss during
surgery. Which action by the new RN
requires that the nurse intervene
immediately?
A. Waiting 20 minutes after obtaining
the RBC's before starting the infusion.
B. Starting an IV line for transfusion
using a 22-guage catheter
C. Priming the transfusion set using 5%
dextrose in LR solution
D. Telling the patient that the RBC's
may cause a serious transfusion
reaction
A 32-year-old patient with sickle cell B. Give oxygen at 4 L/min per nasal cannula
anemia is admitted to the hospital
during a sickle cell crisis. Blood
pressure is 104/62 mmHg, oxygen
saturation is 92%, and the patient
reports pain at a level 8. Which action
prescribed by the health care
provider will the nurse implement
first?
A. Administer morphine sulfate 4-8 mg
IV
B. Give oxygen at 4 L/min per nasal
cannula
C. Start an infusion of normal saline at
200 mL/hr
D. Apply warm packs to painful joints
