Heme Questions with 100% Correct
Answers
The nurse is teaching a client with polycythemia vera about potential
complications from this disease. Which manifestations would the nurse
include in the client's teaching plan? Select all that apply.
A. Hearing loss
B. Visual disturbance
C. Headache
D. Orthopnea
E. Gout
F. Weight loss -
CORRECT ANSWER: B, C, D, E
,Polycythemia vera, a condition in which too many RBCs are produced in
the blood serum, can lead to hypervolemia, hyperviscosity, and
hypertension. Subsequently, the client can experience dizziness, tinnitus,
visual disturbances, headaches, or a feeling of fullness in the head. The
client may also experience cardiovascular symptoms such as heart failure
(shortness of breath and orthopnea) and increased clotting time or
symptoms of an increased uric acid level such as painful swollen joints
(usually the big toe).
QUESTION: A child suspected of having sickle cell disease is seen in a
clinic, and laboratory studies are performed. A nurse checks the lab
results, knowing that which of the following would be increased in this
disease?
A. Platelet count
B. Hematocrit level
C. Reticulocyte count
D. Hemoglobin level -
,CORRECT ANSWER: C. Reticulocyte count
A diagnosis is established based on a complete blood count, examination
for sickled red blood cells in the peripheral smear, and hemoglobin
electrophoresis. Increased reticulocyte counts occur in children with
sickle cell disease because the life span of their sickled red blood cells is
shortened.
Options A, B, and D: Laboratory studies will show decreased
hemoglobin and hematocrit levels and a decreased platelet count, and
increased reticulocyte count, and the presence of nucleated red blood
cells.
QUESTION: Packed red blood cells have been prescribed for a client
with low hemoglobin and hematocrit levels. The nurse takes the client's
temperature before the blood transfusion and records 100.8 °F. Which
action should the nurse take?
A. Give an antipyretic and begin the transfusion.
, B. Proceed with the transfusion.
C. Administer an antihistamine and begin the transfusion.
D. Delay hanging the blood and inform the physician. -
CORRECT ANSWER: Answer: D. Delay hanging the blood and
inform the physician.
If the client has a temperature higher than 100 ° F, the unit of blood
should be delayed until the physician is notified and has the opportunity
to give further order.
Options A and C are incorrect since the administration of the medicine
will need the physician's prescription.
QUESTION: The nurse is administering 2 units PRBC's to a patient
with a low hemoglobin. The nurse will prepare which of the following in
order to transfuse the blood?
A. Microfusion set.
B. Polyvol Pro Burette Set.
Answers
The nurse is teaching a client with polycythemia vera about potential
complications from this disease. Which manifestations would the nurse
include in the client's teaching plan? Select all that apply.
A. Hearing loss
B. Visual disturbance
C. Headache
D. Orthopnea
E. Gout
F. Weight loss -
CORRECT ANSWER: B, C, D, E
,Polycythemia vera, a condition in which too many RBCs are produced in
the blood serum, can lead to hypervolemia, hyperviscosity, and
hypertension. Subsequently, the client can experience dizziness, tinnitus,
visual disturbances, headaches, or a feeling of fullness in the head. The
client may also experience cardiovascular symptoms such as heart failure
(shortness of breath and orthopnea) and increased clotting time or
symptoms of an increased uric acid level such as painful swollen joints
(usually the big toe).
QUESTION: A child suspected of having sickle cell disease is seen in a
clinic, and laboratory studies are performed. A nurse checks the lab
results, knowing that which of the following would be increased in this
disease?
A. Platelet count
B. Hematocrit level
C. Reticulocyte count
D. Hemoglobin level -
,CORRECT ANSWER: C. Reticulocyte count
A diagnosis is established based on a complete blood count, examination
for sickled red blood cells in the peripheral smear, and hemoglobin
electrophoresis. Increased reticulocyte counts occur in children with
sickle cell disease because the life span of their sickled red blood cells is
shortened.
Options A, B, and D: Laboratory studies will show decreased
hemoglobin and hematocrit levels and a decreased platelet count, and
increased reticulocyte count, and the presence of nucleated red blood
cells.
QUESTION: Packed red blood cells have been prescribed for a client
with low hemoglobin and hematocrit levels. The nurse takes the client's
temperature before the blood transfusion and records 100.8 °F. Which
action should the nurse take?
A. Give an antipyretic and begin the transfusion.
, B. Proceed with the transfusion.
C. Administer an antihistamine and begin the transfusion.
D. Delay hanging the blood and inform the physician. -
CORRECT ANSWER: Answer: D. Delay hanging the blood and
inform the physician.
If the client has a temperature higher than 100 ° F, the unit of blood
should be delayed until the physician is notified and has the opportunity
to give further order.
Options A and C are incorrect since the administration of the medicine
will need the physician's prescription.
QUESTION: The nurse is administering 2 units PRBC's to a patient
with a low hemoglobin. The nurse will prepare which of the following in
order to transfuse the blood?
A. Microfusion set.
B. Polyvol Pro Burette Set.
