Hematologic Disorders NCLEX Questions Quizlet

Extract:

Question 1 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 2 of 5

The client with hemophilia A is experiencing hemarthrosis. Which intervention should the nurse recommend to the client?

A. Alternate aspirin and acetaminophen to help with the pain. B. Apply cold packs for 24 to 48 hours to the affected area. C. Perform active range-of-motion exercise on the extremity. D. Put the affected extremity in the dependent position.

Correct Answer: B

Rationale: Hemarthrosis requires cold packs (
B) to reduce bleeding/swelling. Aspirin (
A) increases bleeding, ROM (
C) worsens damage, and dependent position (
D) increases swelling.

Question 3 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 4 of 5

The nurse identified clotting as a concept related to sickle cell disease. Which intervention should the nurse implement?

A. Assess for cerebrovascular symptoms. B. Keep the head of the bed elevated. C. Order a 2,000-mg sodium diet. D. Apply antiembolism stockings.

Correct Answer: A

Rationale: SCD causes vaso-occlusion; assessing cerebrovascular symptoms (
A) detects stroke risk. HOB elevation (
B) is for ICP, sodium diet (
C) is for hypertension, and stockings (
D) are for DVT.

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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