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Chapter 31 (Hematology) Practice Questions (Exam 1) correct answers

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1. In a severely anemic patient, the nurse would expect to find a. dyspnea and tachycardia. b. cyanosis and pulmonary edema. c. cardiomegaly and pulmonary fibrosis. d. ventricular dysrhythmias and wheezing. - correct answer a. dyspnea and tachycardia. 2. When obtaining assessment data from a patient with a microcytic, hypochromic anemia, the nurse would question the patient about a. folic acid intake. b. dietary intake of iron. c. a history of gastric surgery. d. a history of sickle cell anemia. - correct answer b. dietary intake of iron. 3. Nursing interventions for a patient with severe anemia related to peptic ulcer disease include (select all that apply) a. monitoring stools for guaiac. b. instructions for high-iron diet. c. taking vital signs every 8 hours. d. teaching self-injection of erythropoietin. e. administration of cobalamin (vitamin B12) injections. - correct answer a. monitoring stools for guaiac. b. instructions for high-iron diet. 4. The nursing management of a patient in sickle cell crisis includes (select all that apply) a. monitoring CBC. b. optimal pain management and O2 therapy. c. blood transfusions if required and iron chelation. d. rest as needed and deep vein thrombosis prophylaxis. e. administration of IV iron and diet high in iron content. - correct answer a. monitoring CBC.

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