Hematologic Disorders NCLEX Questions Quizlet | Nurselytic

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Hematologic Disorders NCLEX Questions Quizlet Questions

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Question 1 of 5

The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The crossmatch reveals the presence of antibodies that cannot be crossmatched. Which precaution should the nurse implement when initiating the transfusion?

Correct Answer: A

Rationale: Uncrossmatched blood requires slow infusion (10–15 mL/hr) initially (
A) to monitor reactions. Re-crossmatching (
B) is impractical, consent (
C) is for emergencies, and UAP (
D) cannot monitor.

Question 2 of 5

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

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 3 of 5

The nurse has been teaching the parents of a child with hemophilia about the care he will need. Which statement by the parents indicates a need for more instruction?

Correct Answer: C

Rationale: Overprotecting the child by keeping him indoors most of the time prevents normal development. Acetaminophen, dental care, and a Medic Alert bracelet are appropriate.

Question 4 of 5

When planning care for a client who is HIV positive, the nurse should do what?

Correct Answer: B

Rationale: Wearing gloves when handling body fluids follows standard precautions to prevent HIV transmission. Gowns and masks are not always necessary, and restricting visitors or isolating the client is not required.

Question 5 of 5

The client diagnosed with anemia begins to complain of dyspnea when ambulating in the hall. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: Dyspnea in anemia suggests low oxygen-carrying capacity; a wheelchair (
B) prevents exertion while further assessment occurs. Oxygen (
A), lung assessment (
C), and assistance (
D) follow.

Similar Questions

The client is diagnosed with chronic myeloid leukemia and leukocytosis. Which signs/symptoms would the nurse expect to find when assessing this client?
The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The crossmatch reveals the presence of antibodies that cannot be crossmatched. Which precaution should the nurse implement when initiating the transfusion?
The client receiving a unit of PRBCs begins to chill and develops hives. Which action should be the nurse’s first response?
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.
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?

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