ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 39 : Assessment of the Hematologic System Questions
Question 1 of 5
A client is having a bone marrow biopsy and is extremely anxious. What action by the nurse is best?
Correct Answer: A
Rationale: Assessing the client's specific fears and coping mechanisms helps guide the nurse in providing holistic care that best issues the client's needs. Reassurance will be helpful but is not the best option. Sedation is usually used. The client may or may not be totally asleep during the procedure.
Question 2 of 5
A nursing student learns that many drugs can impair the immune system. Which drugs does this include?
Correct Answer: B
Rationale: Corticosteroids are known to suppress the immune system by reducing inflammation and immune responses. Acetaminophen, antibiotics, and antihistamines do not typically impair the immune system in the same way.
Question 3 of 5
A nursing student wants to know why clients with chronic obstructive pulmonary disease tend to be polyhydroic. What response by the nurse instructor is best?
Correct Answer: D
Rationale: In response to hypoxia, more red blood cells are made so more oxygen can be carried and delivered to tissues. This is a physiologic process in response to the disease; it is not a medication side effect, the result of overactive bone marrow, or a response to anemia.
Question 4 of 5
A client is receiving rivaroubahn (Xareth) and asks the nurse to explain how it works. What response by the nurse is best?
Correct Answer: A
Rationale: Rivaroubahn is a direct thrombin inhibitor. It does not work on fibrinogen or vitamin K. It is not a blood thinner, although many clients call anticoagulants by this name.
Question 5 of 5
The health care provider tells the nurse that a client is to be started on a platelet inhibitor. About what drug does the nurse plan to teach the client?
Correct Answer: A
Rationale: Clopidogrel is a platelet inhibitor. Enoxaparin is an indirect thrombin inhibitor. Reteplase is a fibrinolytic agent. Warfarin is a vitamin K antagonist.