ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 40 : Care of Patients with Hematologic Problems Questions
Question 1 of 5
A client admitted for sickle cell crisis is distraught after learning her child also has the disease. What response by the nurse is best?
Correct Answer: B
Rationale: The best response is for the nurse to offer self, a therapeutic communication technique that uses presence to provide emotional support. Assigning blame or focusing on treatments does not address the client's emotional distress, and while offering help is supportive, staying with the client is the most immediate and effective response.
Question 2 of 5
A client with sickle cell disease (SCD) takes hydroxyurea (Droxia). The client presents to the clinic reporting an increase in fatigue. What laboratory result should the nurse report immediately?
Correct Answer: D
Rationale: Although individuals with SCD often have elevated white blood cell counts, an extreme elevation like 38,000/mm3 could indicate leukemia, a serious complication of hydroxyurea, or a severe infection, both critical in SCD patients. Hematocrit and hemoglobin levels are typically low in SCD, and the potassium level, while slightly low, is less urgent.
Question 3 of 5
A nurse is caring for four clients with leukemia. After hand-off report, which client should the nurse see first?
Correct Answer: A
Rationale: The client with two bloody diarrhea stools may be hemorrhaging in the gastrointestinal tract, indicating a potentially life-threatening condition requiring immediate assessment. The client with a respiratory rate change may have an infection or worsening anemia and should be seen next. The other two clients are not as urgent.
Question 4 of 5
A client has frequent hospitalizations for leukemia and is worried about functioning as a parent to four small children. What action by the nurse would be most helpful?
Correct Answer: A
Rationale: Helping the client make sick day plans addresses their concern about parenting responsibilities during hospitalizations, offering practical support. Informing friends and family is less proactive, and while counseling or support groups may help, they are less immediate solutions.
Question 5 of 5
The nurse assesses a client's oral cavity and makes the discovery shown in the photo below: What action by the nurse is most appropriate?
Correct Answer: D
Rationale: The condition shown is glossitis, characteristic of B12 deficiency anemia, treated with cobalamin (vitamin B12). Genetic testing, high-fiber foods, or neutropenic precautions are not relevant to this condition.