Karen has been diagnosed with aplastic anemia. The nurse monitors for changes in which of the following physiologic functions? A. Bowel function B. Peripheral sensation C. Bleeding tendencies D. Intake and output Correct Answer: C. Bleeding tendencies Aplastic anemia decreases the bone marrow production of RBCs, white… Read More »
Nurse Sarah expects to note an elevated serum glucose level in a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which other laboratory finding should the nurse anticipate? A. Elevated serum acetone level. B. Serum ketone bodies. C. Serum alkalosis. D. Below-normal serum potassium level. Correct Answer: D.… Read More »
A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later? A. An increase in neutrophil count B. An increase in hematocrit C. An increase in platelet count D.… Read More »
The nurse working the organ transplant unit is caring for a client with a decreased white blood cell count. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take? A. Allow the client to keep the fruit B. Place the fruit next to the bed for easy… Read More »
Lydia is scheduled for elective splenectomy. Before the client goes to surgery, the nurse in charge final assessment would be: A. Signed consent B. Vital signs C. Name band D. Empty bladder Correct Answer: B. Vital signs An elective procedure is scheduled in advance so that all… Read More »
Virgie with a positive Mantoux test result will be sent for a chest X-ray. The nurse is aware that which of the following reasons this is done? A. To confirm the diagnosis B. To determine if a repeat skin test is needed C. To determine the extent of lesions D. To… Read More »
A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention? A. Observe for evidence of spontaneous bleeding. B. Limit visitors to family only. C. Give aspirin in case of headaches. D. Impose immune precautions. Correct Answer:… Read More »
The client admitted 2 days earlier that a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes? A. Order a chest x-ray B. Reinsert the tube C. Cover the insertion site with a Vaseline gauze D. Call the doctor… Read More »
A client being treated with sodium warfarin has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan? A. Assess for signs of abnormal bleeding B. Anticipate an increase in the Coumadin dosage C. Instruct the client regarding the drug therapy D. Increase the frequency… Read More »
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC). Which of the following is contraindicated with the client? A. Administering Heparin B. Administering Coumadin C. Treating the underlying cause D. Replacing depleted blood products Correct Answer: B. Administering Coumadin Disseminated Intravascular Coagulation (DIC) has not been… Read More »