NURS 6560 Fitzgerald Acute Care exit exam 2-
with 100% verified solutions-2023-2024
A client is admitted as sickle cell crisis with symptoms of dyspnea and leg pain. The client's
significant other says, "I don't really understand why he is hurting so badly." Which response by
the nurse is best? - answer- - Clumping of abnormal RBCs blocks blood flow through the
capillaries.
The nurse is teaching a client with sickle cell anemia how to prevent crisis. Which foods should
the nurse teach the client to avoid - answer- - Alcoholic beverages
The nurse is determining the effectiveness of treatment prescribed for a client with anemia.
Which question should the nurse use to make this evaluation? - answer- Are you keeping up
with your work schedule?"
The nurse is assessing a client diagnosed with chronic leukemia. Which should the nurse focus
on? (select all that apply) -
- Infection
- Social isolation answer- - Fatigue
A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis. Which
intervention would be appropriate for this client? (select all that apply) - answer- -
Administering oxygen
- Managing pain
- Encouraging rest
A client hospitalized with sickle cell frequently asks for opioid pain medications often shortly
after receiving a dose. The nurse on the unit believes the client is drug seeking. When the client
requests pain medication, what action by the nurse is best? - answer- Give the client pain
medication if it is time for another dose
,A client is having diagnostic tests to determine the cause of anemia. The nurse realizes that the
test will focus on: (select all that apply) - answer- - Disorders that cause RBC destruction
- Disorders that reduce production of RBCs
- Presence of bleeding
The nurse at the hematology clinic is working with clients who have polycythemia vera. Which
client should the nurse see first? - answer- - Client who reports SOB
A nursing student is caring for a client with leukemia. The nurse asked why the client is still at
risk for infection when client's WBC is high. What response by the nurse is best? - answer- -
While there is an increase in WBCs, they are abnormal cells and won't provide protection
A client has been admitted after sustaining a humerus fracture that occurs when picking up the
family cat. What test result would the nurse correlate to this condition - answer- - Bence Jones
protein in the urine
A client with thrombocytopenic purpura has had a splenectomy and returned to the surgical unit
from the med-surg floor a few minutes ago. The nurse assesses the client and finds the
abdominal dressing saturated with blood. What is the priority action of the nurse? - answer- -
Take a set of vital signs and notify the surgeon
A client has thrombocytopenia. Which client statement indicates that the client understands self-
management of this condition? - answer- - "I usually put ice on bumps and bruises."
A nurse is caring for 4 clients with leukemia. After hand-off report, which client should the nurse
see first - answer- - The client who has 2 bloody diarrhea stools this morning
A client's health record states that they have regular infusions of factor 9. The nurse would
justify and suspect that this client has what diagnosis? - answer- Hemophilia
A nurse working with clients with sickle cell teaches about self-management to prevent
exacerbation of sickle cell crisis. What factors should clients be taught to avoid? - answer-
, A client who had a splenectomy 2 days ago complains of malaise. The nurse checks the client's
temperature and finds it at 102*F. What action by the nurse should take priority? - answer-
Notify the physician
A client who is taking warfarin (coumadin) 5mg daily has an international normalized ratio (INR)
of 2.5. It is time to administer the next dose of coumadin. What should the nurse do? - answer-
Administer as ordered (therapeutic INR for pt on coumadin is 2-3)
A nurse is assisting with d***** on a newly admitted client with a history of hemophilia. Which
assessment finding indicates that the client has experienced several episodes of bleeding in the
past? - answer- Joint deformities (pts with hemophilia bleed into joints)
A nurse provides a teaching plan for a client with aplastic anemia. Which is the most important
concept to teach for health maintenance? - answer- Avoid exposure to others with acute
infection
A client is diagnosed with folic acid deficiency. On what dietary changes would the nurse instruct
this client? (select all that apply) - answer- Add green leafy vegetables to meals
Snack on peanuts
Eat breads fortified with folic acid
Prepare soups with dried beans and peas
A nurse is caring for a client who is undergoing preliminary testing for hematologic disorder.
Which s/s most likely suggests hematologic disorder? - answer- Severe fatigue
The family of a neutropenic client reports the client is not acting right. What action by the nurse
is the priority? - answer- Assess for infection
A client on the medical unit is receiving a unit of packed RBCs. Difficult IV access has
necessitated a slow perfusion rate and the nurse notes that the infusion began 4 hours ago.
What is the nurses most appropriate action? - answer- Discontinue remaining of packed RBCs
and inform the physician
The nurse is teaching a client with polycytopenia vera about potential complications of this
disease. Which clinical manifestation should the nurse include in the client's teaching plan? -
answer- Visual disturbances
with 100% verified solutions-2023-2024
A client is admitted as sickle cell crisis with symptoms of dyspnea and leg pain. The client's
significant other says, "I don't really understand why he is hurting so badly." Which response by
the nurse is best? - answer- - Clumping of abnormal RBCs blocks blood flow through the
capillaries.
The nurse is teaching a client with sickle cell anemia how to prevent crisis. Which foods should
the nurse teach the client to avoid - answer- - Alcoholic beverages
The nurse is determining the effectiveness of treatment prescribed for a client with anemia.
Which question should the nurse use to make this evaluation? - answer- Are you keeping up
with your work schedule?"
The nurse is assessing a client diagnosed with chronic leukemia. Which should the nurse focus
on? (select all that apply) -
- Infection
- Social isolation answer- - Fatigue
A client diagnosed with sickle cell anemia is experiencing vaso-occlussive crisis. Which
intervention would be appropriate for this client? (select all that apply) - answer- -
Administering oxygen
- Managing pain
- Encouraging rest
A client hospitalized with sickle cell frequently asks for opioid pain medications often shortly
after receiving a dose. The nurse on the unit believes the client is drug seeking. When the client
requests pain medication, what action by the nurse is best? - answer- Give the client pain
medication if it is time for another dose
,A client is having diagnostic tests to determine the cause of anemia. The nurse realizes that the
test will focus on: (select all that apply) - answer- - Disorders that cause RBC destruction
- Disorders that reduce production of RBCs
- Presence of bleeding
The nurse at the hematology clinic is working with clients who have polycythemia vera. Which
client should the nurse see first? - answer- - Client who reports SOB
A nursing student is caring for a client with leukemia. The nurse asked why the client is still at
risk for infection when client's WBC is high. What response by the nurse is best? - answer- -
While there is an increase in WBCs, they are abnormal cells and won't provide protection
A client has been admitted after sustaining a humerus fracture that occurs when picking up the
family cat. What test result would the nurse correlate to this condition - answer- - Bence Jones
protein in the urine
A client with thrombocytopenic purpura has had a splenectomy and returned to the surgical unit
from the med-surg floor a few minutes ago. The nurse assesses the client and finds the
abdominal dressing saturated with blood. What is the priority action of the nurse? - answer- -
Take a set of vital signs and notify the surgeon
A client has thrombocytopenia. Which client statement indicates that the client understands self-
management of this condition? - answer- - "I usually put ice on bumps and bruises."
A nurse is caring for 4 clients with leukemia. After hand-off report, which client should the nurse
see first - answer- - The client who has 2 bloody diarrhea stools this morning
A client's health record states that they have regular infusions of factor 9. The nurse would
justify and suspect that this client has what diagnosis? - answer- Hemophilia
A nurse working with clients with sickle cell teaches about self-management to prevent
exacerbation of sickle cell crisis. What factors should clients be taught to avoid? - answer-
, A client who had a splenectomy 2 days ago complains of malaise. The nurse checks the client's
temperature and finds it at 102*F. What action by the nurse should take priority? - answer-
Notify the physician
A client who is taking warfarin (coumadin) 5mg daily has an international normalized ratio (INR)
of 2.5. It is time to administer the next dose of coumadin. What should the nurse do? - answer-
Administer as ordered (therapeutic INR for pt on coumadin is 2-3)
A nurse is assisting with d***** on a newly admitted client with a history of hemophilia. Which
assessment finding indicates that the client has experienced several episodes of bleeding in the
past? - answer- Joint deformities (pts with hemophilia bleed into joints)
A nurse provides a teaching plan for a client with aplastic anemia. Which is the most important
concept to teach for health maintenance? - answer- Avoid exposure to others with acute
infection
A client is diagnosed with folic acid deficiency. On what dietary changes would the nurse instruct
this client? (select all that apply) - answer- Add green leafy vegetables to meals
Snack on peanuts
Eat breads fortified with folic acid
Prepare soups with dried beans and peas
A nurse is caring for a client who is undergoing preliminary testing for hematologic disorder.
Which s/s most likely suggests hematologic disorder? - answer- Severe fatigue
The family of a neutropenic client reports the client is not acting right. What action by the nurse
is the priority? - answer- Assess for infection
A client on the medical unit is receiving a unit of packed RBCs. Difficult IV access has
necessitated a slow perfusion rate and the nurse notes that the infusion began 4 hours ago.
What is the nurses most appropriate action? - answer- Discontinue remaining of packed RBCs
and inform the physician
The nurse is teaching a client with polycytopenia vera about potential complications of this
disease. Which clinical manifestation should the nurse include in the client's teaching plan? -
answer- Visual disturbances
