Chapter 29 and 30
A nurse plans the interven ons to prepare a pa ent for a bone marrow aspira on._____
(Place the op ons in the correct sequence. Do not separate answers with a space or
punctua on. Example: ABCD.)
a.Assist the pa ent to lie on his or her abdomen and drape the hip and lower limbs.
b.Confirm the presence of laboratory personnel to stain the specimen.
c.Apply a pressure dressing and help the pa ent lie on his or her back.
d.Ensure that a signed permission form is obtained
e. Explain that the procedure will take about 30 minutes.
e. Explain that the procedure will take about 30 minutes.
d. Ensure that a signed permission form is obtained.
a. Assist the pa ent to lie on his or her abdomen and drape the hip and lower limbs.
b. Confirm the presence of laboratory personnel to stain the specimen.
c. Apply a pressure dressing and help the pa ent lie on his or her back.
Which is considered an approximate normal hematocrit value?
A) Three mes the hemoglobin value
B) The same as the hemoglobin value
C) Four mes lower than the red blood cell count
D) Same as the red blood cell count
A) Three mes the hemoglobin value
A nurse is caring for a pa ent receiving a transfusion and assesses that the pa ent is
wheezing and is complaining of back pain. What nursing ac on should take place a1er
stopping the transfusion?
A) Discon nue the intravenous (IV)transfusion.
B) No fy the charge nurse.
C) Administer heparin.
D) Raise the pa ent's head.
B) No fy the charge nurse.
A nurse is taking the history of a pa ent who has come in for evalua on of large areas of
purpura on her limbs. The pa ent reports using alterna ve therapy for her menopausal
symptoms. What alterna ve therapy is most likely responsible for the pa ent's symptoms?
A) Black cohosh
B) Valerian
, C) Lavender
D) Rosemary
A) Black cohosh
To what level should the platelet count rise when the pa ent with a platelet count of
20,000/mm3 receives 1 unit of platelets?
A) 25,000 to 30,000/mm3
B) 35,000 to 40,000/mm3
C) 45,000 to 50,000/mm3
D) 55,000 to 100,000/mm3
A) 25,000 to 30,000/mm3
When a nurse is preparing to give ferrous sulfate (Feosol)to a home health care pa ent,
what is the most appropriate nursing ac on to implement?
A) Mix the drug with a high-protein milkshake.
B) Give it undiluted with a small snack.
C) Mix it with coffee or cola to disguise the biAer taste.
D) Dilute it and offer through a straw and a few crackers.
D) Dilute it and offer through a straw and a few crackers.
A nurse is comple ng an ini al assessment on a new pa ent being seen in the hospital clinic.
The presenta on of this female pa ent includes vague symptoms of redness and large
areas of ecchymosis. Which ques on is most important for the nurse to ask? A) "Are you
allergic to anything?"
B) "Do your gums easily bleed?"
C) "How many hours do you sleep?"
D) "How frequent are your periods?"
B) "Do your gums easily bleed?"
A nurse is assessing a pa ent 20 minutes a1er a bone marrow biopsy. Which statement by
the pa ent is cause for the most concern?
A) "There is fresh blood on my dressing."
B) "I am thirsty."
C) "My hip feels bruised where they stuck the needle."
D) "I had a sharp pain in my leg when they pulled the needle out."
A) "There is fresh blood on my dressing."
At 1000 a nurse receives 2 units of blood for a pa ent to be transfused. What is the most
appropriate nursing ac on?
A) Set up 1 unit for the infusion to start by 1030 and send the other unit back un l the first
one has infused.
A nurse plans the interven ons to prepare a pa ent for a bone marrow aspira on._____
(Place the op ons in the correct sequence. Do not separate answers with a space or
punctua on. Example: ABCD.)
a.Assist the pa ent to lie on his or her abdomen and drape the hip and lower limbs.
b.Confirm the presence of laboratory personnel to stain the specimen.
c.Apply a pressure dressing and help the pa ent lie on his or her back.
d.Ensure that a signed permission form is obtained
e. Explain that the procedure will take about 30 minutes.
e. Explain that the procedure will take about 30 minutes.
d. Ensure that a signed permission form is obtained.
a. Assist the pa ent to lie on his or her abdomen and drape the hip and lower limbs.
b. Confirm the presence of laboratory personnel to stain the specimen.
c. Apply a pressure dressing and help the pa ent lie on his or her back.
Which is considered an approximate normal hematocrit value?
A) Three mes the hemoglobin value
B) The same as the hemoglobin value
C) Four mes lower than the red blood cell count
D) Same as the red blood cell count
A) Three mes the hemoglobin value
A nurse is caring for a pa ent receiving a transfusion and assesses that the pa ent is
wheezing and is complaining of back pain. What nursing ac on should take place a1er
stopping the transfusion?
A) Discon nue the intravenous (IV)transfusion.
B) No fy the charge nurse.
C) Administer heparin.
D) Raise the pa ent's head.
B) No fy the charge nurse.
A nurse is taking the history of a pa ent who has come in for evalua on of large areas of
purpura on her limbs. The pa ent reports using alterna ve therapy for her menopausal
symptoms. What alterna ve therapy is most likely responsible for the pa ent's symptoms?
A) Black cohosh
B) Valerian
, C) Lavender
D) Rosemary
A) Black cohosh
To what level should the platelet count rise when the pa ent with a platelet count of
20,000/mm3 receives 1 unit of platelets?
A) 25,000 to 30,000/mm3
B) 35,000 to 40,000/mm3
C) 45,000 to 50,000/mm3
D) 55,000 to 100,000/mm3
A) 25,000 to 30,000/mm3
When a nurse is preparing to give ferrous sulfate (Feosol)to a home health care pa ent,
what is the most appropriate nursing ac on to implement?
A) Mix the drug with a high-protein milkshake.
B) Give it undiluted with a small snack.
C) Mix it with coffee or cola to disguise the biAer taste.
D) Dilute it and offer through a straw and a few crackers.
D) Dilute it and offer through a straw and a few crackers.
A nurse is comple ng an ini al assessment on a new pa ent being seen in the hospital clinic.
The presenta on of this female pa ent includes vague symptoms of redness and large
areas of ecchymosis. Which ques on is most important for the nurse to ask? A) "Are you
allergic to anything?"
B) "Do your gums easily bleed?"
C) "How many hours do you sleep?"
D) "How frequent are your periods?"
B) "Do your gums easily bleed?"
A nurse is assessing a pa ent 20 minutes a1er a bone marrow biopsy. Which statement by
the pa ent is cause for the most concern?
A) "There is fresh blood on my dressing."
B) "I am thirsty."
C) "My hip feels bruised where they stuck the needle."
D) "I had a sharp pain in my leg when they pulled the needle out."
A) "There is fresh blood on my dressing."
At 1000 a nurse receives 2 units of blood for a pa ent to be transfused. What is the most
appropriate nursing ac on?
A) Set up 1 unit for the infusion to start by 1030 and send the other unit back un l the first
one has infused.
