NURS 301 Test 1 – Questions With Accurate
Solutions
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Terms in this set (76)
A client is admitted with A. Avoid intramuscular injections
thrombocytopenia. Which specific E. Examine the skin for ecchymotic areas
nursing actions are appropriate to
include in the plan of care for this
client? Select all that apply.
A. Avoid intramuscular injections
B. Institute neutropenic precautions
C. Monitor the white blood cell count
D. Administer prescribed
anticoagulants
E. Examine the skin for ecchymotic
areas
The laboratory report of a client B. Petechiae
reveals that the platelet count is D. Ecchymosis
60,000/µL (60 x 10 9/L). Which E. Hematoma
integumentary changes can be
anticipated in this client? Select all
that apply.
A. Cyanosis
B. Petechiae
C. Varicosity
D. Ecchymosis
E. Hematoma
,A client with cirrhosis of the liver has a D. Report signs of bleeding no matter how slight.
prolonged prothrombin time and a
low platelet count. A regular diet is
prescribed. What should the nurse
instruct the client to do considering
the client's condition?
A. Avoid foods high in phytonadione.
B. Check the pulse several times a day.
C. Drink a glass of milk when taking
aspirin.
D. Report signs of bleeding no matter
how slight.
A client is receiving warfarin. The D. Vitamin K promotes prothrombin formation by the
nurse explains the need for careful liver.
regulation of dietary intake of vitamin
K. What is the rationale for the nurse's
teaching?
A. Vitamin K promotes platelet
aggregation.
B. Vitamin K promotes ionization of
blood calcium.
C. Vitamin K promotes fibrinogen
formation by the liver.
D. Vitamin K promotes prothrombin
formation by the liver.
,A client is diagnosed with B. Avoid traumatic injury and exposure to infection.
pancytopenia caused by
chemotherapy. What should a nurse
teach the client about this
complication?
A. Begin a program of meticulous
mouth care.
B. Avoid traumatic injury and exposure
to infection.
C. Increase oral fluid intake to at least
3 L/day.
D. Report unusual muscle cramps or
tingling sensations in the extremities.
A child has been diagnosed with D. Factor VIII
hemophilia type A after experiencing
excessive bleeding from a minor
trauma. The parents ask how this could
happen in addition to many other
questions. Hemophilia A is linked to a
deficiency in what?
A. Factor II
B. Factor III
C. Factor IX
D. Factor VIII
, A child has been diagnosed with A. Epistaxis
hemophilia type A after experiencing B. Hematuria
excessive bleeding from a minor C. Hemarthrosis
trauma. The parents ask what D. Easy bruising
symptoms of bleeding they should be G. Dark-colored tarry stools
looking for in the future. What
symptoms should the nurse list?
Select all that apply.
A. Epistaxis
B. Hematuria
C. Hemarthrosis
D. Easy bruising
E. Frequent fevers
F. Fast clotting of injuries
G. Dark-colored tarry stools
An adolescent who has sickle cell D. Interruption of education as a result of multiple
anemia is recovering from a painful hospitalizations
episode. What does the nurse see as
the priority issue for this adolescent?
A. Restriction of movement during
periods of arthralgia
B. Separation from family during
periods of hospitalization
C. Alteration in body image resulting
from skeletal deformities
D. Interruption of education as a result
of multiple hospitalizations
Solutions
Save
Terms in this set (76)
A client is admitted with A. Avoid intramuscular injections
thrombocytopenia. Which specific E. Examine the skin for ecchymotic areas
nursing actions are appropriate to
include in the plan of care for this
client? Select all that apply.
A. Avoid intramuscular injections
B. Institute neutropenic precautions
C. Monitor the white blood cell count
D. Administer prescribed
anticoagulants
E. Examine the skin for ecchymotic
areas
The laboratory report of a client B. Petechiae
reveals that the platelet count is D. Ecchymosis
60,000/µL (60 x 10 9/L). Which E. Hematoma
integumentary changes can be
anticipated in this client? Select all
that apply.
A. Cyanosis
B. Petechiae
C. Varicosity
D. Ecchymosis
E. Hematoma
,A client with cirrhosis of the liver has a D. Report signs of bleeding no matter how slight.
prolonged prothrombin time and a
low platelet count. A regular diet is
prescribed. What should the nurse
instruct the client to do considering
the client's condition?
A. Avoid foods high in phytonadione.
B. Check the pulse several times a day.
C. Drink a glass of milk when taking
aspirin.
D. Report signs of bleeding no matter
how slight.
A client is receiving warfarin. The D. Vitamin K promotes prothrombin formation by the
nurse explains the need for careful liver.
regulation of dietary intake of vitamin
K. What is the rationale for the nurse's
teaching?
A. Vitamin K promotes platelet
aggregation.
B. Vitamin K promotes ionization of
blood calcium.
C. Vitamin K promotes fibrinogen
formation by the liver.
D. Vitamin K promotes prothrombin
formation by the liver.
,A client is diagnosed with B. Avoid traumatic injury and exposure to infection.
pancytopenia caused by
chemotherapy. What should a nurse
teach the client about this
complication?
A. Begin a program of meticulous
mouth care.
B. Avoid traumatic injury and exposure
to infection.
C. Increase oral fluid intake to at least
3 L/day.
D. Report unusual muscle cramps or
tingling sensations in the extremities.
A child has been diagnosed with D. Factor VIII
hemophilia type A after experiencing
excessive bleeding from a minor
trauma. The parents ask how this could
happen in addition to many other
questions. Hemophilia A is linked to a
deficiency in what?
A. Factor II
B. Factor III
C. Factor IX
D. Factor VIII
, A child has been diagnosed with A. Epistaxis
hemophilia type A after experiencing B. Hematuria
excessive bleeding from a minor C. Hemarthrosis
trauma. The parents ask what D. Easy bruising
symptoms of bleeding they should be G. Dark-colored tarry stools
looking for in the future. What
symptoms should the nurse list?
Select all that apply.
A. Epistaxis
B. Hematuria
C. Hemarthrosis
D. Easy bruising
E. Frequent fevers
F. Fast clotting of injuries
G. Dark-colored tarry stools
An adolescent who has sickle cell D. Interruption of education as a result of multiple
anemia is recovering from a painful hospitalizations
episode. What does the nurse see as
the priority issue for this adolescent?
A. Restriction of movement during
periods of arthralgia
B. Separation from family during
periods of hospitalization
C. Alteration in body image resulting
from skeletal deformities
D. Interruption of education as a result
of multiple hospitalizations
