NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
MULTIPLE
CHOICE
A 62-year old man with chronic anemia is experiencing increased fatigue
and occasional palpitations at rest. The nurse would expect the patient’s
laboratory findings to include
a. a hematocrit (Hct) of 38%.
b. an RBC count of 4,500,000/L.
c. normal red blood cell (RBC) indices.
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
ANS: D
The patient’s clinical manifestations indicate moderate anemia, which is
consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of
normal.
DIF: Cognitive Level: Understand (comprehension)REF: 633
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Which menu choice indicates that the patient understands the nurse’s teaching
about best
dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
, NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
ANS: A
Eggs and whole grain breads are high in iron. The other choices are appropriate
for other nutritional deficiencies but are not the best choice for a patient with
iron-deficiency anemia.
DIF: Cognitive Level: Apply (application) REF: 637
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
A patient who is receiving methotrexate for severe rheumatoid arthritis
develops a megaloblastic anemia. The nurse will anticipate teaching the
patient about increasing oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
ANS: B
Methotrexate use can lead to folic acid deficiency. Supplementation with oral
folic acid supplements is the usual treatment. The other nutrients would not
correct folic acid deficiency, although they would be used to treat other types of
anemia.
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
, NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
DIF: Cognitive Level: Apply (application) REF:640
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
, NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse
determines that the patient understands the teaching about the disorder when the
patient states, “I
a. need to start eating more red meat and liver.”
b. will stop having a glass of wine with dinner.”
c. could choose nasal spray rather than injections of vitamin B12.”
d. will need to take a proton pump inhibitor like omeprazole (Prilosec).”
ANS: C
Because pernicious anemia prevents the absorption of vitamin B12, this patient
requires injections or intranasal administration of cobalamin. Alcohol use does
not cause cobalamin deficiency. Proton pump inhibitors decrease the absorption
of vitamin B12. Eating more foods rich in vitamin B12 is not helpful because the
lack of intrinsic factor prevents absorption of the vitamin.
DIF: Cognitive Level: Apply (application) REF: 641
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
An appropriate nursing intervention for a hospitalized patient with severe
hemolytic anemia is to
a. provide a diet high in vitamin K.
b. alternate periods of rest and activity.
c. teach the patient how to avoid injury.
d. place the patient on protective isolation.
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
MULTIPLE
CHOICE
A 62-year old man with chronic anemia is experiencing increased fatigue
and occasional palpitations at rest. The nurse would expect the patient’s
laboratory findings to include
a. a hematocrit (Hct) of 38%.
b. an RBC count of 4,500,000/L.
c. normal red blood cell (RBC) indices.
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
ANS: D
The patient’s clinical manifestations indicate moderate anemia, which is
consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of
normal.
DIF: Cognitive Level: Understand (comprehension)REF: 633
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Which menu choice indicates that the patient understands the nurse’s teaching
about best
dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
, NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
ANS: A
Eggs and whole grain breads are high in iron. The other choices are appropriate
for other nutritional deficiencies but are not the best choice for a patient with
iron-deficiency anemia.
DIF: Cognitive Level: Apply (application) REF: 637
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
A patient who is receiving methotrexate for severe rheumatoid arthritis
develops a megaloblastic anemia. The nurse will anticipate teaching the
patient about increasing oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
ANS: B
Methotrexate use can lead to folic acid deficiency. Supplementation with oral
folic acid supplements is the usual treatment. The other nutrients would not
correct folic acid deficiency, although they would be used to treat other types of
anemia.
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
, NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
DIF: Cognitive Level: Apply (application) REF:640
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
, NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse
determines that the patient understands the teaching about the disorder when the
patient states, “I
a. need to start eating more red meat and liver.”
b. will stop having a glass of wine with dinner.”
c. could choose nasal spray rather than injections of vitamin B12.”
d. will need to take a proton pump inhibitor like omeprazole (Prilosec).”
ANS: C
Because pernicious anemia prevents the absorption of vitamin B12, this patient
requires injections or intranasal administration of cobalamin. Alcohol use does
not cause cobalamin deficiency. Proton pump inhibitors decrease the absorption
of vitamin B12. Eating more foods rich in vitamin B12 is not helpful because the
lack of intrinsic factor prevents absorption of the vitamin.
DIF: Cognitive Level: Apply (application) REF: 641
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
An appropriate nursing intervention for a hospitalized patient with severe
hemolytic anemia is to
a. provide a diet high in vitamin K.
b. alternate periods of rest and activity.
c. teach the patient how to avoid injury.
d. place the patient on protective isolation.
NURS 420 Chapter 31: Nursing Management:
Hematologic Problems Test Bank Q&A New Update
2022/2023 guaranteed success
