West Coast University-Los Angeles PATH 370 ATI RN
Alterations in Hematologic function | Questions with 100%
Verified Answers | Latest Update
Question:
A nurse is caring for a client who has had a gastric bypass surgery. The client asks, "Why do I have
vitamin B12 deficiency even though i am eating a healthy diet?". Which of the following is the
appropriate response for the nurse to make?
Answer:
"This surgery bypassess the area of production of intrinsic factor, which is needed for vitamin B12
absorption." (Vitamin B12 needs to be absorbed in the terminal ileum and with that area being
circumvented by the gastric bypass surgery, this cannnot occur.)
Question:
A nurse is teaching a client about stoke risk factors. The client has a family history of stroke and is
concerned. Which of the following factors should be included in the teaching?
Answer:
Aging Hypertension Diabetes mellitus Atrial fibrillation (The older a person gets, the more illness
they have that are non-modifiable. Having hypertension can damage blood vessels and weaken
arteries therefore placing the client at higher risk for stroke. A client who has diabetes may have
high and uncontrolled glucose levels. High glucose can lead to the development of clots or deposits
of fat in the vessels which can block blood vessels and blood flow. Atrial fibrillation is an irregular
heart rhythm that allows blood to remain in the heart and not be fully ejected. This can create a clot
that cannot be pumped out and block blood flow to the brain.
Question:
A client's caregiver is concerned about the young child's future and diagnosis of sickle cell and
expresses this to the medical staff on the unit at the hospital. The new nurse expresses the
concerns to the charge nurse and inquires what the most significant adverse effect would be on a
client's life. Which of the following is an appropriate response for the charge nurse to make?
Answer:
"Pain crises seem to have the most adverse effect." (A pain crisis can significantly impact a client
with sickle sells life and interfere with their daily activities as they can have several episodes a year.
The pain can be debilitating.)
Question:
A nurse is caring for a client who has sickle cell anemia. the client asks, "Why does my body hurt so
much and why am I having so much pain?" Which of the following is an appropriate response for the
nurse to make?
Answer:
"Your red blood cells are shaped differently and can block blood flow." (Sickle cell anemia causes
the RBCs to be shaped like a "C" or, sickle shaped, and sticky. The RBCs clump together and cause
blockages of the blood flow throughout the body.)
, Question:
A nurse is discussing thromboembolisms with a new nurse. The new nurse identifies
thromboembolism as a cause of which of the following complications?
Answer:
Myocardial infarction (A myocardial infarction is caused by a blood clot that blocks blood flow to the
vessels supplying blood to the heart and can be caused by a thromboembolism. Pulmonary
embolism (A pulmonary embolism is a blood clot that can block blood flow in a vessel that supplies
blood to the lungs and is usually caused by a thromboembolism.)
Question:
A nurse is providing teaching to a client who has acute lymphocytic leukemia (ALL) and has been
receiving chemotherapy treatments. Which of the following will the nurse include in the teaching?
Answer:
Perform frequent hand hygiene (Clients who have ALL are at risk for infections as they are immune
suppressed, and good hand hygiene helps prevent infection.) Urge frequent rest periods (Clients
who have ALL and are undergoing chemotherapy as easily fatigued.) Advise eating a protein-rich
diet (The clients who have ALL and are undergoing chemotherapy need protein as this helps with
healing the body and building muscle.)
Question:
A nurse is caring for a client who has post-thrombotic syndrome. The client asks, "How is this
syndrome different than deep vein thrombosis?" Which of the following is an appropriate response
for the nurse to make?
Answer:
"Post-thrombotic syndrome causes damage to the valves in the veins." (Clot formation from DVT
damages to the valves in the veins and causes the manifestations of post-thrombotic syndrome.)
Question:
A nurse is providing teaching to a client who is experiencing postpartum hemorrhage. Which
statement will the nurse include in the teaching?
Answer:
"The greatest cause of postpartum hemorrhage is uterine atony." (Following birth, the uterus can
become flaccid and enlarged, causing a significant loss of blood.)
Question:
A nurse is educating a community group about risk factors for developing vitamin B12 deficiency.
Which of the following should the nurse include in the teaching?
Answer:
"Some medications affect vitamin B12 absorption and cause a deficiency." (Several medications
affect the way vitamin B12 is absorbed, and they include some diabetic medications such as
metformin, anti-seizure medications, proton pump inhibitors which are given for the treatment of
peptic ulcer disease and gastroesophageal reflux disease, and some oral contraceptives.) "Clients
Alterations in Hematologic function | Questions with 100%
Verified Answers | Latest Update
Question:
A nurse is caring for a client who has had a gastric bypass surgery. The client asks, "Why do I have
vitamin B12 deficiency even though i am eating a healthy diet?". Which of the following is the
appropriate response for the nurse to make?
Answer:
"This surgery bypassess the area of production of intrinsic factor, which is needed for vitamin B12
absorption." (Vitamin B12 needs to be absorbed in the terminal ileum and with that area being
circumvented by the gastric bypass surgery, this cannnot occur.)
Question:
A nurse is teaching a client about stoke risk factors. The client has a family history of stroke and is
concerned. Which of the following factors should be included in the teaching?
Answer:
Aging Hypertension Diabetes mellitus Atrial fibrillation (The older a person gets, the more illness
they have that are non-modifiable. Having hypertension can damage blood vessels and weaken
arteries therefore placing the client at higher risk for stroke. A client who has diabetes may have
high and uncontrolled glucose levels. High glucose can lead to the development of clots or deposits
of fat in the vessels which can block blood vessels and blood flow. Atrial fibrillation is an irregular
heart rhythm that allows blood to remain in the heart and not be fully ejected. This can create a clot
that cannot be pumped out and block blood flow to the brain.
Question:
A client's caregiver is concerned about the young child's future and diagnosis of sickle cell and
expresses this to the medical staff on the unit at the hospital. The new nurse expresses the
concerns to the charge nurse and inquires what the most significant adverse effect would be on a
client's life. Which of the following is an appropriate response for the charge nurse to make?
Answer:
"Pain crises seem to have the most adverse effect." (A pain crisis can significantly impact a client
with sickle sells life and interfere with their daily activities as they can have several episodes a year.
The pain can be debilitating.)
Question:
A nurse is caring for a client who has sickle cell anemia. the client asks, "Why does my body hurt so
much and why am I having so much pain?" Which of the following is an appropriate response for the
nurse to make?
Answer:
"Your red blood cells are shaped differently and can block blood flow." (Sickle cell anemia causes
the RBCs to be shaped like a "C" or, sickle shaped, and sticky. The RBCs clump together and cause
blockages of the blood flow throughout the body.)
, Question:
A nurse is discussing thromboembolisms with a new nurse. The new nurse identifies
thromboembolism as a cause of which of the following complications?
Answer:
Myocardial infarction (A myocardial infarction is caused by a blood clot that blocks blood flow to the
vessels supplying blood to the heart and can be caused by a thromboembolism. Pulmonary
embolism (A pulmonary embolism is a blood clot that can block blood flow in a vessel that supplies
blood to the lungs and is usually caused by a thromboembolism.)
Question:
A nurse is providing teaching to a client who has acute lymphocytic leukemia (ALL) and has been
receiving chemotherapy treatments. Which of the following will the nurse include in the teaching?
Answer:
Perform frequent hand hygiene (Clients who have ALL are at risk for infections as they are immune
suppressed, and good hand hygiene helps prevent infection.) Urge frequent rest periods (Clients
who have ALL and are undergoing chemotherapy as easily fatigued.) Advise eating a protein-rich
diet (The clients who have ALL and are undergoing chemotherapy need protein as this helps with
healing the body and building muscle.)
Question:
A nurse is caring for a client who has post-thrombotic syndrome. The client asks, "How is this
syndrome different than deep vein thrombosis?" Which of the following is an appropriate response
for the nurse to make?
Answer:
"Post-thrombotic syndrome causes damage to the valves in the veins." (Clot formation from DVT
damages to the valves in the veins and causes the manifestations of post-thrombotic syndrome.)
Question:
A nurse is providing teaching to a client who is experiencing postpartum hemorrhage. Which
statement will the nurse include in the teaching?
Answer:
"The greatest cause of postpartum hemorrhage is uterine atony." (Following birth, the uterus can
become flaccid and enlarged, causing a significant loss of blood.)
Question:
A nurse is educating a community group about risk factors for developing vitamin B12 deficiency.
Which of the following should the nurse include in the teaching?
Answer:
"Some medications affect vitamin B12 absorption and cause a deficiency." (Several medications
affect the way vitamin B12 is absorbed, and they include some diabetic medications such as
metformin, anti-seizure medications, proton pump inhibitors which are given for the treatment of
peptic ulcer disease and gastroesophageal reflux disease, and some oral contraceptives.) "Clients
