Hematologic Disorders NCLEX Questions Quizlet

Question 1 of 5

The client diagnosed with leukemia has central nervous system involvement. Which instruction should the nurse teach?

A. Sleep with the HOB elevated to prevent increased intracranial pressure.B. Take an analgesic medication for pain only when the pain becomes severe.C. Explain radiation therapy to the head may result in permanent hair loss.D. Discuss end-of-life decisions prior to cognitive deterioration.

Correct Answer: D

Rationale: CNS leukemia risks cognitive decline; discussing end-of-life decisions (
D) is critical before deterioration. HOB elevation (
A) is for ICP, not routine, analgesics (
B) should be proactive, and hair loss (
C) is secondary.

Question 2 of 5

The nurse writes a nursing problem of 'altered nutrition' for a client diagnosed with leukemia who has received a treatment regimen of chemotherapy and radiation. Which nursing intervention should be implemented?

A. Administer an antidiarrheal medication prior to meals.B. Monitor the client's serum albumin levels.C. Assess for signs and symptoms of infection.D. Provide skin care to irradiated areas.

Correct Answer: B

Rationale: Altered nutrition requires monitoring serum albumin (
B) to assess protein status. Antidiarrheals (
A) are symptom-specific, infection (
C) is unrelated, and skin care (
D) addresses radiation effects.

Question 3 of 5

The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?

A. Night sweats and fever without 'chills.'B. Edematous lymph nodes in the groin.C. Malaise and complaints of an upset stomach.D. Pain in the neck area after a fatty meal.

Correct Answer: A

Rationale: Night sweats and fever (
A) are classic Hodgkin’s B symptoms. Edematous nodes (
B) are not typical (firm, non-tender), malaise/stomach (
C) is nonspecific, and neck pain (
D) suggests gallbladder issues.

Question 4 of 5

Which information about reproduction should be taught to the 27-year-old female client diagnosed with Hodgkin's disease?

A. The client’s reproductive ability will be the same after treatment.B. The client should practice birth control for at least two (2) years following therapy.C. All clients become sterile from the therapy and should plan to adopt.D. The therapy will temporarily interfere with the client’s menstrual cycle.

Correct Answer: D

Rationale: Hodgkin’s therapy (chemo/radiation) often temporarily disrupts menstruation (
D). Fertility may recover (A, C incorrect), and birth control (
B) is advised during treatment, not 2 years post.

Question 5 of 5

The nurse writes a diagnosis of altered tissue perfusion for a client diagnosed with anemia. Which interventions should be included in the plan of care? Select all that apply.

A. Monitor the client’s hemoglobin and hematocrit.B. Move the client to a room near the nurse’s desk.C. Limit the client’s dietary intake of green vegetables.D. Assess the client for numbness and tingling.E. Allow for rest periods during the day for the client.

Correct Answer: A,D,E

Rationale: Monitoring Hb/Hct (
A), assessing numbness/tingling (
D), and rest periods (E) address perfusion in anemia. Proximity to desk (
B) is nonspecific, and limiting greens (
C) is for anticoagulation, not anemia.

Hematologic Disorders NCLEX Questions Quizlet | Nurselytic

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