ATI Learning Systems RN Medical-
Surgical: Cardiovascular and
Hematology
a nurse is caring for a patient who has hemophilia. the patient reports pain and swelling in a joint
following an injury. which of the following actions should the nurse take? ✔✔prepare for
replacement of missing clotting factors
-hemophilia is a hereditary bleeding disorder in which blood clots slowly and abnormal bleeding
occurs
-caused by a deficiency in most common clotting factor, factor VIII (hemophilia A)
-aggressive factor replacement is initiated to prevent hemarthrosis that can result in long-term
loss of range of motion in repeatedly affected joints
-coagulation tests that measure platelet function, such as bleeding time, are used to Dx, not treat,
hemophilia
-aspirin and other NSAID's, and some herbal supplements should be avoided b/c they interfere
w/ clotting function
-affected joint should be elevated to allow blood to drain away from pt
a nurse is completing a medication history for a patient who reports using fish oil as a dietary
supplement. which of the following substances in fish oil should the nurse recognize as a health
benefit to the patient? ✔✔omega 3 fatty acids
-helps lower risk of cardiovascular dz and stroke by decreasing triglyceride levels
, -antioxidants: substances naturally occurring in fruits and veggies, as well as in nuts, grains, and
some meat, poultry, and fish
-beta-carotene, vitamin A, C, E, and selenium are some of most commonly known antioxidants
-can slow/prevent development of cancer
-beta-carotene: precursor to vitamin A, functions as fat-soluble antioxidant which protects body
from deleterious free-radical rxns
A nurse is reviewing a patient's repeat lab results for hours after administering fresh frozen
plasma. Which of the following lab results for the nurse review? ✔✔prothrombin time (PT_
-FFP is plasma rich in clotting factors and is administered to treat acute clotting disorders
-desired effect: decrease in PT
-review WBC's if there's possible infection
-review platelet count following admin of platelets
-review HCT following admin of packed RBC's
A nurse is assessing a patient who has right-sided heart failure. Which of the following findings
should the nurse expect? ✔✔dependent edema
-blood return from venous system to R atrium is impaired by weakened R heart
-consecutive systemic venous backup leads to development of dependent edema
-Left-sided HF: pts w/ this disorder have decreased cardiac output which causes decreased
capillary refill; blood returns from lungs via pulmonary vein is slowed, causing fluid buildup in
lungs that results in SOB; dizziness can occur d/t decreased cardiac output
Surgical: Cardiovascular and
Hematology
a nurse is caring for a patient who has hemophilia. the patient reports pain and swelling in a joint
following an injury. which of the following actions should the nurse take? ✔✔prepare for
replacement of missing clotting factors
-hemophilia is a hereditary bleeding disorder in which blood clots slowly and abnormal bleeding
occurs
-caused by a deficiency in most common clotting factor, factor VIII (hemophilia A)
-aggressive factor replacement is initiated to prevent hemarthrosis that can result in long-term
loss of range of motion in repeatedly affected joints
-coagulation tests that measure platelet function, such as bleeding time, are used to Dx, not treat,
hemophilia
-aspirin and other NSAID's, and some herbal supplements should be avoided b/c they interfere
w/ clotting function
-affected joint should be elevated to allow blood to drain away from pt
a nurse is completing a medication history for a patient who reports using fish oil as a dietary
supplement. which of the following substances in fish oil should the nurse recognize as a health
benefit to the patient? ✔✔omega 3 fatty acids
-helps lower risk of cardiovascular dz and stroke by decreasing triglyceride levels
, -antioxidants: substances naturally occurring in fruits and veggies, as well as in nuts, grains, and
some meat, poultry, and fish
-beta-carotene, vitamin A, C, E, and selenium are some of most commonly known antioxidants
-can slow/prevent development of cancer
-beta-carotene: precursor to vitamin A, functions as fat-soluble antioxidant which protects body
from deleterious free-radical rxns
A nurse is reviewing a patient's repeat lab results for hours after administering fresh frozen
plasma. Which of the following lab results for the nurse review? ✔✔prothrombin time (PT_
-FFP is plasma rich in clotting factors and is administered to treat acute clotting disorders
-desired effect: decrease in PT
-review WBC's if there's possible infection
-review platelet count following admin of platelets
-review HCT following admin of packed RBC's
A nurse is assessing a patient who has right-sided heart failure. Which of the following findings
should the nurse expect? ✔✔dependent edema
-blood return from venous system to R atrium is impaired by weakened R heart
-consecutive systemic venous backup leads to development of dependent edema
-Left-sided HF: pts w/ this disorder have decreased cardiac output which causes decreased
capillary refill; blood returns from lungs via pulmonary vein is slowed, causing fluid buildup in
lungs that results in SOB; dizziness can occur d/t decreased cardiac output
