Chapter 33: Management of Patients With Nonmalignant H
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ematologic Disorders ../
1. A nurse is caring for a patient who has sickle cell anemia an
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d the nurses assessment reveals the
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possibility of substance abuse. What is the nurses most appropr
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iate action? ../ ../
A) Encourage the patient to rely on complementary and alternat
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ive therapies.
../ ../
B) Encourage the patient to seek care from a single provider fo
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r pain relief.
../ ../ ../
C) Teach the patient to accept chronic pain as an inevitable asp
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ect of the disease.
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D) Limit the reporting of emergency department visits to the pr
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imary health care provider. - correct answer Ans: B
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Feedback: ../
The patient should be encouraged to use a single primary healt
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h care provider to address health care concerns. Emergency dep
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artment visits should be reported to the primary health care pro
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vider to achieve optimal management of the disease. It would i
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nappropriate to teach the patient to simply accept his or her pai
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n. Complementary therapies are usually insufficient to fully add
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ress pain in sickle cell disease.
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,2. A patient newly diagnosed with thrombocytopenia is admitte
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d to the medical unit. After the admission
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assessment, the patient asks the nurse to explain the disease. W
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hat should the nurse explain to this patient?
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A) There could be an attack on the platelets by antibodies.
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B) There could be decreased production of platelets.
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C) There could be impaired communication between platelets.
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D) There could be an autoimmune process causing platelet mal
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function. - correct answer Ans: B
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Feedback: ../
Thrombocytopenia can result from a decreased platelet producti ../ ../ ../ ../ ../ ../ ../
on, increased platelet destruction, or increased consumption of
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platelets. Impaired platelet communication, antibodies, and auto
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immune processes are not typical pathologies.
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Test Bank - Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing 14e (Hinkle 2017) 640
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3. A critical care nurse is caring for a patient with autoimmune
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hemolytic anemia. The patient is not
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,responding to conservative treatments, and his condition is now
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becoming life threatening. The nurse is aware that a treatment
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option in this case may include what?
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A) Hepatectomy
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B) Vitamin K administration
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C) Platelet transfusion
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D) Splenectomy - correct answer Ans: D
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Feedback: ../
A splenectomy may be the course of treatment if autoimmune
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hemolytic anemia does not respond to conservative treatment.
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Vitamin K administration is treatment for vitamin K deficiency
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and does not resolve anemia. Platelet transfusion may be the co
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urse of treatment for some bleeding disorders. Hepatectomy wo
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uld not help the patient.
../ ../ ../ ../
4. A nurse is providing education to a patient with iron deficien
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cy anemia who has been prescribed iron
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supplements. What should the nurse include in health education ../ ../ ../ ../ ../ ../ ../ ../
? ../
A) Take the iron with dairy products to enhance absorption.
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B) Increase the intake of vitamin E to enhance absorption.
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C) Iron will cause the stools to darken in color.
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, D) Limit foods high in fiber due to the risk for diarrhea. -
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correct answer Ans: C
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Feedback: ../
The nurse will inform the patient that iron will cause the stools
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to become dark in color. Iron should be taken on an empty sto
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mach, as its absorption is affected by food, especially dairy pro
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ducts. Patients should be instructed to increase their intake of v
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itamin C to enhance iron absorption. Foods high in fiber should
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be consumed to minimize problems with constipation, a comm
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on side effect associated with iron therapy.
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5. The nurse is assessing a new patient with complaints of over
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whelming fatigue and a sore tongue that is ../ ../ ../ ../ ../ ../ ../ ../
visibly smooth and beefy red. This patient is demonstrating sig
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ns and symptoms associated with what form of what hematolog
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ic disorder?
../ ../
Test Bank - Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing 14e (Hinkle 2017) 641 ../ ../ ../ ../ ../ ../
A) Sickle cell anemia
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B) Hemophilia
../ ../
C) Megaloblastic anemia
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D) Thrombocytopenia - correct answer Ans: C
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../ ../ ../ ../ ../ ../ ../
ematologic Disorders ../
1. A nurse is caring for a patient who has sickle cell anemia an
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
d the nurses assessment reveals the
../ ../ ../ ../ ../ ../
possibility of substance abuse. What is the nurses most appropr
../ ../ ../ ../ ../ ../ ../ ../ ../
iate action? ../ ../
A) Encourage the patient to rely on complementary and alternat
../ ../ ../ ../ ../ ../ ../ ../ ../
ive therapies.
../ ../
B) Encourage the patient to seek care from a single provider fo
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
r pain relief.
../ ../ ../
C) Teach the patient to accept chronic pain as an inevitable asp
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ect of the disease.
../ ../ ../ ../
D) Limit the reporting of emergency department visits to the pr
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
imary health care provider. - correct answer Ans: B
../ ../ ../ ../ ../ ../ ../ ../ ../
Feedback: ../
The patient should be encouraged to use a single primary healt
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
h care provider to address health care concerns. Emergency dep
../ ../ ../ ../ ../ ../ ../ ../ ../
artment visits should be reported to the primary health care pro
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
vider to achieve optimal management of the disease. It would i
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
nappropriate to teach the patient to simply accept his or her pai
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
n. Complementary therapies are usually insufficient to fully add
../ ../ ../ ../ ../ ../ ../ ../
ress pain in sickle cell disease.
../ ../ ../ ../ ../
,2. A patient newly diagnosed with thrombocytopenia is admitte
../ ../ ../ ../ ../ ../ ../ ../
d to the medical unit. After the admission
../ ../ ../ ../ ../ ../ ../ ../
assessment, the patient asks the nurse to explain the disease. W
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
hat should the nurse explain to this patient?
../ ../ ../ ../ ../ ../ ../ ../
A) There could be an attack on the platelets by antibodies.
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
B) There could be decreased production of platelets.
../ ../ ../ ../ ../ ../ ../ ../
C) There could be impaired communication between platelets.
../ ../ ../ ../ ../ ../ ../ ../
D) There could be an autoimmune process causing platelet mal
../ ../ ../ ../ ../ ../ ../ ../ ../
function. - correct answer Ans: B
../ ../ ../ ../ ../ ../
Feedback: ../
Thrombocytopenia can result from a decreased platelet producti ../ ../ ../ ../ ../ ../ ../
on, increased platelet destruction, or increased consumption of
../ ../ ../ ../ ../ ../ ../ ../
platelets. Impaired platelet communication, antibodies, and auto
../ ../ ../ ../ ../ ../
immune processes are not typical pathologies.
../ ../ ../ ../ ../ ../
Test Bank - Brunner & Suddarth's Textbook of Medical-
../ ../ ../ ../ ../ ../ ../ ../
Surgical Nursing 14e (Hinkle 2017) 640
../ ../ ../ ../ ../
3. A critical care nurse is caring for a patient with autoimmune
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
hemolytic anemia. The patient is not
../ ../ ../ ../ ../ ../
,responding to conservative treatments, and his condition is now
../ ../ ../ ../ ../ ../ ../ ../ .
becoming life threatening. The nurse is aware that a treatment
./ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
option in this case may include what?
../ ../ ../ ../ ../ ../ ../
A) Hepatectomy
../ ../
B) Vitamin K administration
../ ../ ../ ../
C) Platelet transfusion
../ ../ ../
D) Splenectomy - correct answer Ans: D
../ ../ ../ ../ ../ ../ ../
Feedback: ../
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 co
/ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
urse of treatment for some bleeding disorders. Hepatectomy wo
../ ../ ../ ../ ../ ../ ../ ../
uld not help the patient.
../ ../ ../ ../
4. A nurse is providing education to a patient with iron deficien
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
cy 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. -
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
correct answer Ans: C
../ ../ ../ ../ ../
Feedback: ../
The nurse will inform the patient that iron will cause the stools
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ..
to become dark in color. Iron should be taken on an empty sto
/ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
mach, as its absorption is affected by food, especially dairy pro
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
ducts. Patients should be instructed to increase their intake of v
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
itamin C to enhance iron absorption. Foods high in fiber should
../ ../ ../ ../ ../ ../ ../ ../ ../ ../
be consumed to minimize problems with constipation, a comm
../ ../ ../ ../ ../ ../ ../ ../ ../
on side effect associated with iron therapy.
../ ../ ../ ../ ../ ../
5. The nurse is assessing a new patient with complaints of over
../ ../ ../ ../ ../ ../ ../ ../ ../ ../ ../
whelming fatigue and a sore tongue that is ../ ../ ../ ../ ../ ../ ../ ../
visibly smooth and beefy red. This patient is demonstrating sig
../ ../ ../ ../ ../ ../ ../ ../ ../
ns and symptoms associated with what form of what hematolog
../ ../ ../ ../ ../ ../ ../ ../ ../
ic disorder?
../ ../
Test Bank - Brunner & Suddarth's Textbook of Medical-
../ ../ ../ ../ ../ ../ ../ ../
Surgical Nursing 14e (Hinkle 2017) 641 ../ ../ ../ ../ ../ ../
A) Sickle cell anemia
../ ../ ../ ../
B) Hemophilia
../ ../
C) Megaloblastic anemia
../ ../ ../
D) Thrombocytopenia - correct answer Ans: C
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