CHAPTER 29 BRUNNER AND SUDDARTH EXAMS
ALL ANSWERS 100% CORRECT DETAILED UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
A client with sickle cell disease is taking narcotic analgesics for pain
control. Which intervention by the nurse would decrease the risk for
narcotic substance abuse?
A. Encourage the client to rely on complementary and alternative
therapies.
B. Encourage the client to seek care from a single provider for pain
relief.
C. Teach the client to accept chronic pain as an inevitable aspect of the
disease. D. Limit the reporting of emergency department visits to the
primary health care provider.
ANS: B
Rationale: The client should be encouraged to use a single primary
provider to address health care concerns. Emergency department visits
should be reported to the primary provider to achieve optimal
management of the disease. It would be inappropriate to teach the
client to simply accept the pain. Complementary therapies are usually
insufficient to fully address pain in sickle cell disease.
A client newly diagnosed with thrombocytopenia is admitted to the
medical unit. After the admission assessment, the client asks the nurse
to explain the condition. The nurse explains to this client that this
condition occurs due to which factor?
A. An attack on the platelets by antibodies
B. Decreased production of platelets
,CHAPTER 29 BRUNNER AND SUDDARTH EXAMS
ALL ANSWERS 100% CORRECT DETAILED UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
C. Impaired communication between platelets
D. An autoimmune process causing platelet malfunction
ANS: B
Rationale: Thrombocytopenia can result from a decreased platelet
production, increased platelet destruction, or increased consumption of
platelets. Impaired platelet communication, antibodies, and
autoimmune processes are not typical pathologies.
A critical care nurse is caring for a client with immune hemolytic
anemia. The client is not responding to conservative treatments, and
the client's condition is now becoming life-threatening. The nurse is
aware that a treatment option in this case may include which
intervention?
A. Hepatectomy
B. Vitamin K administration
C. Platelet transfusion
D. Splenectomy
ANS: D
Rationale: A splenectomy may be the course of treatment if
autoimmune hemolytic anemia does not respond to conservative
treatment. Vitamin K administration is treatment for vitamin K
deficiency and does not resolve anemia. Platelet transfusion may be the
course of treatment for some bleeding disorders. Hepatectomy would
not help the client.
, CHAPTER 29 BRUNNER AND SUDDARTH EXAMS
ALL ANSWERS 100% CORRECT DETAILED UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
A nurse is providing education to a client with iron deficiency anemia
who has been prescribed iron supplements. What should the nurse
include in health education?
A. Take the iron with dairy products to enhance absorption.
B. Increase the intake of vitamin E to enhance absorption.
C. Iron will cause the stools to darken in color.
D. Limit foods high in fiber due to the risk for diarrhea.
ANS: C
Rationale: The nurse will inform the client that iron will cause the stools
to become dark in color. Iron should be taken on an empty stomach, as
its absorption is affected by food, especially dairy products. Clients
should be instructed to increase their intake of vitamin C to enhance
iron absorption. Foods high in fiber should be consumed to minimize
problems with constipation, a common side effect associated with iron
therapy.
The nurse is assessing a new client with reports of acute fatigue and a
sore tongue that is visibly smooth and beefy red. This client is
demonstrating signs and symptoms associated with what form of
hematologic disorder?
A. Sickle cell disease
B. Hemophilia
C. Megaloblastic anemia
D. Thrombocytopenia
ALL ANSWERS 100% CORRECT DETAILED UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
A client with sickle cell disease is taking narcotic analgesics for pain
control. Which intervention by the nurse would decrease the risk for
narcotic substance abuse?
A. Encourage the client to rely on complementary and alternative
therapies.
B. Encourage the client to seek care from a single provider for pain
relief.
C. Teach the client to accept chronic pain as an inevitable aspect of the
disease. D. Limit the reporting of emergency department visits to the
primary health care provider.
ANS: B
Rationale: The client should be encouraged to use a single primary
provider to address health care concerns. Emergency department visits
should be reported to the primary provider to achieve optimal
management of the disease. It would be inappropriate to teach the
client to simply accept the pain. Complementary therapies are usually
insufficient to fully address pain in sickle cell disease.
A client newly diagnosed with thrombocytopenia is admitted to the
medical unit. After the admission assessment, the client asks the nurse
to explain the condition. The nurse explains to this client that this
condition occurs due to which factor?
A. An attack on the platelets by antibodies
B. Decreased production of platelets
,CHAPTER 29 BRUNNER AND SUDDARTH EXAMS
ALL ANSWERS 100% CORRECT DETAILED UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
C. Impaired communication between platelets
D. An autoimmune process causing platelet malfunction
ANS: B
Rationale: Thrombocytopenia can result from a decreased platelet
production, increased platelet destruction, or increased consumption of
platelets. Impaired platelet communication, antibodies, and
autoimmune processes are not typical pathologies.
A critical care nurse is caring for a client with immune hemolytic
anemia. The client is not responding to conservative treatments, and
the client's condition is now becoming life-threatening. The nurse is
aware that a treatment option in this case may include which
intervention?
A. Hepatectomy
B. Vitamin K administration
C. Platelet transfusion
D. Splenectomy
ANS: D
Rationale: A splenectomy may be the course of treatment if
autoimmune hemolytic anemia does not respond to conservative
treatment. Vitamin K administration is treatment for vitamin K
deficiency and does not resolve anemia. Platelet transfusion may be the
course of treatment for some bleeding disorders. Hepatectomy would
not help the client.
, CHAPTER 29 BRUNNER AND SUDDARTH EXAMS
ALL ANSWERS 100% CORRECT DETAILED UPDATED
2025/2026 BEST GRADED A+ FOR SUCCESS
A nurse is providing education to a client with iron deficiency anemia
who has been prescribed iron supplements. What should the nurse
include in health education?
A. Take the iron with dairy products to enhance absorption.
B. Increase the intake of vitamin E to enhance absorption.
C. Iron will cause the stools to darken in color.
D. Limit foods high in fiber due to the risk for diarrhea.
ANS: C
Rationale: The nurse will inform the client that iron will cause the stools
to become dark in color. Iron should be taken on an empty stomach, as
its absorption is affected by food, especially dairy products. Clients
should be instructed to increase their intake of vitamin C to enhance
iron absorption. Foods high in fiber should be consumed to minimize
problems with constipation, a common side effect associated with iron
therapy.
The nurse is assessing a new client with reports of acute fatigue and a
sore tongue that is visibly smooth and beefy red. This client is
demonstrating signs and symptoms associated with what form of
hematologic disorder?
A. Sickle cell disease
B. Hemophilia
C. Megaloblastic anemia
D. Thrombocytopenia
