Hematologic Disorders NCLEX Questions | Nurselytic

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Hematologic Disorders NCLEX Questions Questions

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Question 1 of 5

When assessing the client who is recovering from a radical hysterectomy with vulvectomy, the nurse notes lymphedema of the lower extremities. Which intervention should be implemented by the nurse?

Correct Answer: C

Rationale: A. Elevating the head of the bed to a 45-degree angle may increase lymphedema of the lower extremities. B. Intake of fluids high in sodium will cause fluid retention. C. Leg exercises will improve drainage when lymphedema is present. D. Lower-extremity splints can cause skin breakdown of edematous tissue.

Question 2 of 5

Which situation might cause the nurse to think that the client has von Willebrand’s (vW) disease?

Correct Answer: C

Rationale: vWD impairs clotting, causing prolonged bleeding post-surgery (
C). Hematemesis (
A) and hematuria (
B) are less specific, and abruptio placentae (
D) is unrelated.

Question 3 of 5

Which client would be most at risk for developing disseminated intravascular coagulation (DIC)?

Correct Answer: D

Rationale: Septicemia (
D) is a major DIC trigger due to systemic inflammation/coagulation. Placenta previa (
A), PE (
B), and dialysis (
C) are lower risk.

Question 4 of 5

The nurse is caring for a client diagnosed with sickle cell disease. Which should the nurse include in the client’s plan of care?

Correct Answer: B

Rationale: Hydration (
B) prevents sickling in SCD. Limiting fluids (
A) worsens crisis, calf swelling (
C) is for DVT, and scheduled narcotics (
D) risk dependency.

Question 5 of 5

Which is the primary goal of care for a client diagnosed with sickle cell anemia?

Correct Answer: C

Rationale: The primary goal for SCA is to live normally (
C), managing crises. Calling HCP (
A), compliance (
B), and understanding (
D) are secondary.

Similar Questions

The nurse is caring for the client who had a left modified radical mastectomy (a total mastectomy with axillary node dissection and removal of the lining over the pectoralis major muscle). Which action by the nurse is appropriate?
The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?
The laboratory results for a male client diagnosed with leukemia include RBC count 2.1 x 106/mm3, WBC count 150 x 103/mm3, platelets 22 x 103/mm3, K+ 3.8 mEq/L, and Na+ 139 mEq/L. Based on these results, which intervention should the nurse teach the client?
When assessing the client who is recovering from a radical hysterectomy with vulvectomy, the nurse notes lymphedema of the lower extremities. Which intervention should be implemented by the nurse?
The nurse identifies a concept of hematologic regulation for a client diagnosed with leukemia. Which clinical manifestations support the concept?

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