NCLEX REVIEW - HEMATOLOGY & IMMUNE COMBINED

NCLEX REVIEW - HEMATOLOGY & IMMUNE COMBINED1. The nurse analyzes the laboratory results of a child with hemophilia. The nurse recognizes that which result would most likely be abnormal in this child? A. Platelet count B. Hematocrit level C. Hemoglobin level D. Partial thromboplastin time 2. A child with ẞ-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Which medication should the nurse expect to administer for chelation therapy? A. Fragamin B. Deferoxamine (Desferal) C. Metroprolol (Toprol – XL) D. Meropenem (Merrem) 3. A nurse is reviewing the health care provider’s orders for a child with sickle cell anemia being admitted to the pediatric floor for treatment of vasoocclusive crisis. Which orders should the nurse question Select all that apply. A. Restrict fluid intake B. Position for comfort C. Avoid strain on painful joints D. Apply nasal oxygen at 2L/minute (*hypoxic/would 2L be enough?) E. Provide a high calorie, high protein diet F. Give Meperidine (Demerol) intravenously, every four hours for pain. Note: p.961 stasis of the blood with clumping of cells in microcirculation, ischemia and infarction. Caused by: dehydration, temperature extremes, infection, localized hypoxemia, physical or emotional stress. 4. The nurse is conducting staff in-service training on von Willebrand’s disease. Which should the nurse include as characteristics of von Willebrand’s disease? Select all that apply. A. Easy bruising occurs B. Gum bleeding occurs C. It is a hereditary bleeding disorder. D. Treatment and care are similar to that for hemophilia. E. It is characterized by high white blood cell levels. F. The disorder causes platelets to adhere to damaged endothelium. G. Excessive menstruation in post-pubertal female 5. Laboratory tests are done for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? A. Elevated hemoglobin level B. Decreased reticulocyte count C. Elevated red blood cell count D. Microcytic and hypochromic red blood cells 6. A child with hemophilia A fell and injured a knee while playing outside. The knee is swollen and painful. Which of the following measures should be taken to stop the bleeding? Select all that apply. A. The extremity should be immobilized. B. The extremity should be elevated. C. Warm, moist compresses should be applied to decrease pain. D. Passive range of motion should be administered to the extremity. E. Factor VIII