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NURS 301 HEMATOLOGY QUESTIONS WITH COMPLETE ANSWERS

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NURS 301 HEMATOLOGY QUESTIONS WITH COMPLETE ANSWERS

Institution
NURS 301
Course
NURS 301

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What are the priority nursing interventions for a client with neutropenia in an
emergency department? Select all that apply.


Monitor for rashes and pruritus.


Prepare an appropriate diet plan.


Obtain blood cultures immediately.


Teach hygiene measures to be followed.


Administer antibiotic STAT as prescribed.


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Obtain blood cultures immediatel


Administer antibiotic STAT as prescribed.

Identifying the causative agent for neutropenia is important for starting
treatment. Therefore the priority nursing intervention is to obtain blood

, cultures immediately and administer antibiotic STAT as prescribed to the
client. The nurse can monitor for rashes and pruritus after administering the
medication. The nurse can prepare a diet plan and teach hygiene measures
after stabilizing the client.




While reviewing a client's laboratory reports, the nurse finds a neutrophil count of
12,000/mm 3. Which condition may be present in this client?


Influenza


Pneumonia


Immunosuppression


Autoimmune disorder


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Pneumonia
The normal adult leukocyte count is 5,000 to 10,000/mm 3. A count of
12,000/mm 3 indicates an increased neutrophil level, which indicates the
presence of an acute bacterial infection that could result in pneumonia or
inflammation. Viral influenza may occur when the neutrophil count is low.
Immunosuppression and autoimmune disorders may result from a
decreased leukocyte count.




The student nurse demonstrates correct understanding of anemia related to chronic
disease with which statement?



"Red blood cells appear normal in size and color; however, there is a decreased
amount produced."


"The red blood cells have an increased life span with a decrease in normal

, functioning."


"Administration of vitamins B 12 and folate will help to treat this type of long-term
anemia."


"This is the mildest form of anemia and is easily corrected through administration of
blood products."


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"Red blood cells appear normal in size and color; however, there is a
decreased amount produced."

Anemia of chronic disease results in a decrease in the production of red
blood cells (RBCs) in response to chronic inflammation; the red blood cells
are normal size, shape, and color. There is a decrease in the life span of the
RBC, and the administration of folate or B 12 will not correct the anemia, as
these levels are generally within normal limits. This form of anemia can be
very severe, and treatment is directed at identification and management of
the underlying cause.




A client is receiving warfarin. The nurse explains the need for careful regulation of
dietary intake of vitamin K. What is the rationale for the nurse's teaching?


Vitamin K promotes platelet aggregation.


Vitamin K promotes ionization of blood calcium.


Vitamin K promotes fibrinogen formation by the liver.


Vitamin K promotes prothrombin formation by the liver.


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Vitamin K promotes prothrombin formation by the liver

Vitamin K promotes the liver's synthesis of prothrombin, an important

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Institution
NURS 301
Course
NURS 301

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