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NUR 445 Exam 5 Study Guide: Hematology, Liver, Renal, and Transplant Nursing – Questions & Answers

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This comprehensive study guide covers key topics from NUR 445 Exam 5, including hematologic disorders (HIT, DIC, thrombocytopenia), liver cirrhosis and cancer, renal failure, dialysis, and transplant care. Each question is paired with a detailed answer to help nursing students review essential concepts, clinical manifestations, treatments, and patient education. Ideal for exam preparation and clinical reference.

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NUR 445
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Uploaded on
January 13, 2026
Number of pages
32
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NUR 445 EXAM 5 REAL EXAM QUESTIONS
AND DETAILED ANSWERS ALREADY
GRADED A+ 2026-2027.NEWEST

What medication can you give when a patient experience HIT? - ANSWER-

Rgatroban, lapirudim




how is fast platelets administered ? - ANSWER-Administer Fast 10-15mins.




how do we prevent complications of DIC? - ANSWER-treat underlying cause.




medical management of DIC - ANSWER-Glucocorticoids


Fast platelets


increase platelet counts by decreasing the antiplatelet antibody production

,Providing supportive care in the form of administering blood, platelets, fresh

frozen plasma, and cryoprecipitate (plasma product rich in factor VIII) may be

employed to maintain hemostasis




use of cryoprecipitate - ANSWER-plasma product rich in factor VIII) helps

maintain homeostasis




clinical manifestations of thromobocytopenia - ANSWER-bruising,


petechiae


epitaxis - nose bleed


bleeding gums


Gi bleed


brain bleed/ vital organs

,bleeding percautions - ANSWER-1. Use a soft-bristle toothbrush or gauze to

clean the teeth. No flossing.


2. Use an electric razor for shaving.


3. Encourage the use of shoes or slippers when out of bed.


4. Maintain a clutter-free environment to minimize bruising.


5. Use a stool softener daily to decrease constipation and straining during

bowel movements.


6. Avoid rectal thermometers, suppositories, enemas, and vaginal douches.


7. Avoid sexual intercourse when the platelet count is extremely low.


8. Do not blow nose.


9. When using a knife is necessary, make sure the blade is sharp. More force is

required for dull knives.


10. If a laceration occurs, apply direct pressure and/or ice for no less than 5

minutes until bleeding stops.

, 11. Procedures such as intramuscular injections, arterial sticks, and peripheral

blood draws should be kept to a minimum.




tumor lysis syndrome - ANSWER-tumor cells breaking down in your blood

rapidly




what are the clinical manifestations of cirrhosis of the liver? - ANSWER-

Shortness of breath


• Decreased blood pressure


• Petechiae, bruising, and bleeding


• Altered mental status


• Asterixis


• Elevated liver enzymes


• Jaundice


• Dark amber urine

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