Hematologic Disorders NCLEX Questions Quizlet

Extract:

Question 1 of 5

A home-care nurse is following up with the client who was diagnosed with liver cancer 3 months ago. Which assessment information should the nurse communicate to the HCP?

Correct Answer: D

Rationale: A. Finding that the client with liver cancer is weak and pale would be important to document, but it does not warrant immediate communication to the HCP because it may be expected. B. The client’s weight being stable would not necessitate communication to the HCP, but a significant decrease would. C. Abdominal itching may occur with liver cancer, but the fact that it is relieved with diphenhydramine (Benadryl) is positive and would not necessitate a call to the HCP. D. The client’s pain level is high and does not seem to be controlled with the current opioid schedule. The nurse should notify the HCP to request a change in analgesic medication, dosing schedule, or administration route.

Question 2 of 5

The nurse working in the bloodmobile is screening clients to determine if they qualify for blood donation of whole blood. Besides asking for identification and age, which questions should the nurse ask during the screening interview?

A. “If you have a tattoo, on what date did you receive the tattoo?” B. “Have you had any close contact with anyone with HIV or hepatitis?” C. “If you smoke, when was the last time you smoked tobacco products?” D. “When were you last immunized for rubella, mumps, or varicella?” E. “Did you receive blood products anywhere outside of the United States?”

Correct Answer: A, B, D, E

Rationale: Persons ineligible to donate blood include those with a history of a recent tattoo. B. Persons ineligible to donate blood include those who’ve had close contact with a person with HIV or hepatitis. C. Persons who smoke tobacco products may donate blood unless they have a recent history of asthma. D. Persons ineligible to donate blood include those immunized for rubella, mumps, or varicella within the last month. E. Persons ineligible to donate blood include those receiving transfusions in the United Kingdom, Gibraltar, or the Falkland Islands because of the increased likelihood of transmitting Creutzfeldt-Jakob disease.

Question 3 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 4 of 5

The client who has renal cancer that has metastasized rates pain at a 9 on a 0 to 10 pain scale. Which medication should the nurse plan to administer now and then schedule to be administered at the prescribed dosing interval?

A. Meperidine B. Propoxyphene C. Pentazocine D. Oxycodone

Correct Answer: D

Rationale: A. Meperidine (Demerol) is not recommended because it causes CNS toxicity from metabolites. It should not be used for the treatment of chronic pain. B. Propoxyphene

Question 5 of 5

The client diagnosed with sickle cell anemia asks the nurse, 'Should I join the Sickle Cell Foundation? I received some information from the Sickle Cell Foundation. What kind of group is it?' Which statement is the best response by the nurse?

A. It is a foundation that deals primarily with research for a cure for SCA.' B. It provides information on the disease and on support groups in this area.' C. I recommend joining any organization that will help deal with your disease.' D. The foundation arranges for families that have children with sickle cell to meet.'

Correct Answer: B

Rationale: The Sickle Cell Foundation offers education and support groups (
B). Research (
A) is partial, generic advice (
C) is vague, and family meetings (
D) are not primary.

Hematologic Disorders NCLEX Questions Quizlet | Nurselytic

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