NCLEX-PN
Hematologic Disorders NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse writes a diagnosis of 'potential for fluid volume deficit related to bleeding' for a client diagnosed with disseminated intravascular coagulation (DIC). Which would be an appropriate goal for this client?
Correct Answer: D
Rationale: DIC risks bleeding/fluid loss; urine output >30 mL/hr (
D) indicates adequate volume. Clot resolution (
A) is unrealistic, dressing saturation (
B) is an intervention, and swabs (
C) are unrelated.
Question 2 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 3 of 5
Which information about reproduction should be taught to the 27-year-old female client diagnosed with Hodgkin's disease?
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 nurse is preparing to administer epoetin alfa to the client who has chemotherapy-associated anemia. The nurse recognizes the need to consult with the HCP before administration when the client makes which statements?
Correct Answer: A, D
Rationale: Erythropoiesis-stimulating agents, such as epoetin alfa (Epogen), can cause thromboembolic events. It would be concerning if the client had limited activity because this could further increase the client’s risk of a thromboembolic event. B. Dark green, leafy vegetables are high in iron and help with Hgb synthesis and therefore would be beneficial. C. Eggs are high in iron, but there are other food sources high in iron that the client can consume if an aversion exists. D. A history of a thromboembolic event and use of epoetin alfa increase the client’s risk for another thromboembolic event. E. The use of epoetin alfa is recommended as a treatment option for clients with chemotherapy-associated anemia and an Hgb concentration that is approaching, or has fallen below, 10 g/dL, to increase the Hgb level and decrease the need for a transfusion.
Question 5 of 5
The nurse administers iron using the Z track technique. What is the primary reason for administering iron via Z track?
Correct Answer: B
Rationale: The Z track technique prevents iron from leaking into subcutaneous tissue, reducing skin staining.