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 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 2 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 3 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.
Question 4 of 5
A nurse working with clients with sickle cell disease (SCD) teaches about self-management to prevent exacerbation and sickle cell crises. What factors should clients be taught to avoid? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Several factors cause red blood cells to sickle in SCD, including dehydration, extreme stress, high altitudes, and pregnancy, as they can trigger vaso-occlusive crises. Radiation is not a specific trigger unless related to extreme physical stress.
Question 5 of 5
A student studying leukemia learns the risk factors for developing this disorder. Which risk factors does this include? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Chemical exposure, ionizing radiation, and viral infections are known risk factors for leukemia. Genetically modified foods and vaccinations have not been established as risk factors.