1
Chapter 28 Nursing Care of Patients with
Hematologic and Lymphatic Disorders
Questions and Verified Answers 2025-
2026.
A 54-year-old patient is admitted to the hospital in the final stage of chronic
lymphocytic leukemia (CLL). Which manifestations of CLL should the nurse
expect to find while collecting admission data?
a.
Nausea and vomiting
b.
Hypotension and alopecia
c.
Fever and abnormal bleeding
d.
Cervical lymphadenopathy and chest pain - ANSANS: C
1
, 2
During the acute phase of CLL, the patient may exhibit high fevers from
infection and ecchymosis or petechiae from thrombocytopenia. A. B.
Nausea, vomiting, and alopecia are side effects of chemotherapy. D.
Lymphadenopathy and chest pain are not generally associated with
leukemia.
A comatose patient is admitted to the emergency department after an
automobile accident. The nurse notes a Medic-Alert identification bracelet
that states the patient has hemophilia. What should the nurse do first?
a.
Notify the physician of the bracelet.
b.
Tape the bracelet to the patients arm.
c.
Call the phone number on the bracelet.
d.
Remove the bracelet, and give it to the patients family member. - ANSANS:
A
2
, 3
The physician should be notified immediately, because the information
impacts type and urgency of care. D. Removing the bracelet places the
patient at risk of inappropriate care. B. C. Taping the bracelet to the arm
and calling the telephone number on the bracelet can be completed later.
A nurse is assisting with data collection on a newly admitted patient with a
history of hemophilia. Which assessment finding indicates that the patient
has experienced some severe episodes of bleeding in the past?
a.
Joint deformities
b.
Distended abdomen
c.
Ecchymoses on the extremities
d.
Elevated WBC count - ANSANS: A
Bleeding into the muscles and joints (hemarthrosis) is common in
hemophilia. Severe and repeated episodes of joint hemorrhage cause joint
3
, 4
deformities. C. Ecchymosis indicates new, rather than past, bleeding. B. D.
Elevated WBC and abdominal distention are not generally associated with
hemophilia.
A patient has a platelet count of 20,000/mm3. What action should the nurse
take?
a.
Assist out of bed to a chair
b.
Draw another blood sample
c.
Measure a rectal temperature
d.
Place on bleeding precautions - ANSANS: D
A platelet count of less than 20,000/mm3 (nl 150,000 to 450,000/mm3)
places the patient at risk for bleeding. A. B. C. Because the patient is at risk
for bleeding, the patient most likely should not be transferred to a chair.
4
Chapter 28 Nursing Care of Patients with
Hematologic and Lymphatic Disorders
Questions and Verified Answers 2025-
2026.
A 54-year-old patient is admitted to the hospital in the final stage of chronic
lymphocytic leukemia (CLL). Which manifestations of CLL should the nurse
expect to find while collecting admission data?
a.
Nausea and vomiting
b.
Hypotension and alopecia
c.
Fever and abnormal bleeding
d.
Cervical lymphadenopathy and chest pain - ANSANS: C
1
, 2
During the acute phase of CLL, the patient may exhibit high fevers from
infection and ecchymosis or petechiae from thrombocytopenia. A. B.
Nausea, vomiting, and alopecia are side effects of chemotherapy. D.
Lymphadenopathy and chest pain are not generally associated with
leukemia.
A comatose patient is admitted to the emergency department after an
automobile accident. The nurse notes a Medic-Alert identification bracelet
that states the patient has hemophilia. What should the nurse do first?
a.
Notify the physician of the bracelet.
b.
Tape the bracelet to the patients arm.
c.
Call the phone number on the bracelet.
d.
Remove the bracelet, and give it to the patients family member. - ANSANS:
A
2
, 3
The physician should be notified immediately, because the information
impacts type and urgency of care. D. Removing the bracelet places the
patient at risk of inappropriate care. B. C. Taping the bracelet to the arm
and calling the telephone number on the bracelet can be completed later.
A nurse is assisting with data collection on a newly admitted patient with a
history of hemophilia. Which assessment finding indicates that the patient
has experienced some severe episodes of bleeding in the past?
a.
Joint deformities
b.
Distended abdomen
c.
Ecchymoses on the extremities
d.
Elevated WBC count - ANSANS: A
Bleeding into the muscles and joints (hemarthrosis) is common in
hemophilia. Severe and repeated episodes of joint hemorrhage cause joint
3
, 4
deformities. C. Ecchymosis indicates new, rather than past, bleeding. B. D.
Elevated WBC and abdominal distention are not generally associated with
hemophilia.
A patient has a platelet count of 20,000/mm3. What action should the nurse
take?
a.
Assist out of bed to a chair
b.
Draw another blood sample
c.
Measure a rectal temperature
d.
Place on bleeding precautions - ANSANS: D
A platelet count of less than 20,000/mm3 (nl 150,000 to 450,000/mm3)
places the patient at risk for bleeding. A. B. C. Because the patient is at risk
for bleeding, the patient most likely should not be transferred to a chair.
4
