ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 32 Questions
Question 1 of 5
The nurse is providing discharge teaching to a patient who has had an emergency splenectomy following an automobile accident. Which of the following events should the nurse inform the patient that they are at an increased risk of developing?
Correct Answer: A
Rationale: The spleen plays a major role in immune function. Splenectomy increases the risk for infection, especially with gram-positive bacteria. The risks for lymphedema, bleeding, and anemia are not increased after splenectomy.
Question 2 of 5
The nurse is obtaining a health history from a patient and notes numerous petechiae. Which of the following assessments should the nurse anticipate?
Correct Answer: B
Rationale: Petechiae are small, purplish-red lesions. Ecchymosis is bruising on the skin. Small focal red lesions are telangiectasia. Purpura are small hemorrhages on the skin or mucous membranes resulting in a rash of purple, red, or brown spots.
Question 3 of 5
The nurse is reviewing laboratory data for an older-adult patient. Which of the following results should be of most concern?
Correct Answer: A
Rationale: The total WBC count is not usually affected by aging, and the low WBC here would indicate that the patient's immune function may be compromised. The platelet count is normal. The slight decrease in hemoglobin and hematocrit is not unusual for an older patient.
Question 4 of 5
The health care provider performs a bone marrow aspiration from the left posterior iliac crest on a patient with pancytopenia. Which of the following actions should the nurse implement following the procedure?
Correct Answer: D
Rationale: A pressure dressing is used to cover the aspiration site. The wound after bone marrow biopsy is small and will not be packed with gauze. There is no indication that the head needs to be elevated for this patient.
Question 5 of 5
The nurse is caring for a patient with persistent iron-deficiency anemia. Which of the following assessment findings should the nurse anticipate?
Correct Answer: B
Rationale: Loss of the papillae of the tongue occurs with persistent iron-deficiency. Scleral jaundice is associated with hemolysis, gum bleeding and tenderness occur with thrombocytopenia or neutropenia, and extremity numbness is associated with vitamin B12 deficiency or pernicious anemia.