NR 324 Nursing Care of Hematologic
Alterations
A nurse develops a fever before she is scheduled to work. Which priority action is most
appropriate? - answer Notify the supervisor that she is unable to work today
In reviewing a client's chart, the nurse notes a hemoglobin of 7 g/dL with a low
hematocrit. Which symptoms are consistent with these lab values? SATA - answer
Dyspnea
Abnormal skin color
Fatigue
The nurse notes a client as having erythrocytosis. The nurse understands that this can
be caused by which factors? SATA - answerChronic smoking
High altitude
The nurse is developing a discharge teaching plan including information on the client's
diagnosis of thrombocytopenia. The client's seizure drug was discontinued. When can
the nurse schedule the follow-up complete blood count (CBC) to ensure the platelet
count returns to normal? - answerTwo weeks will give sufficient time for the platelet
count to improve
Review the altered hematologic problems below and drag the expected signs/symptoms
to the correct box.
Erythrocytosis (Polycythemia Vera)
Erythropenia (Anemia)
Leukocytosis
Leukopenia
Thrombocytosis
Thrombocytopenia - answerErythrocytosis (Polycythemia Vera)- Impaired gas
exchange, Risk for thromboembolism
Erythropenia (Anemia)- Impaired gas exchange, Altered peripheral tissue perfusion,
Altered cerebral tissue perfusion, Risk for shock, Risk for unstable blood pressure,
Fatigue, Imbalanced nutrition
Leukocytosis- Impaired tissue integrity, Hyperthermia
Risk for shock
Leukopenia-Risk for infection
Thrombocytosis- Risk for thromboembolism
Thrombocytopenia- Risk for bleeding, Risk for shock
Alterations
A nurse develops a fever before she is scheduled to work. Which priority action is most
appropriate? - answer Notify the supervisor that she is unable to work today
In reviewing a client's chart, the nurse notes a hemoglobin of 7 g/dL with a low
hematocrit. Which symptoms are consistent with these lab values? SATA - answer
Dyspnea
Abnormal skin color
Fatigue
The nurse notes a client as having erythrocytosis. The nurse understands that this can
be caused by which factors? SATA - answerChronic smoking
High altitude
The nurse is developing a discharge teaching plan including information on the client's
diagnosis of thrombocytopenia. The client's seizure drug was discontinued. When can
the nurse schedule the follow-up complete blood count (CBC) to ensure the platelet
count returns to normal? - answerTwo weeks will give sufficient time for the platelet
count to improve
Review the altered hematologic problems below and drag the expected signs/symptoms
to the correct box.
Erythrocytosis (Polycythemia Vera)
Erythropenia (Anemia)
Leukocytosis
Leukopenia
Thrombocytosis
Thrombocytopenia - answerErythrocytosis (Polycythemia Vera)- Impaired gas
exchange, Risk for thromboembolism
Erythropenia (Anemia)- Impaired gas exchange, Altered peripheral tissue perfusion,
Altered cerebral tissue perfusion, Risk for shock, Risk for unstable blood pressure,
Fatigue, Imbalanced nutrition
Leukocytosis- Impaired tissue integrity, Hyperthermia
Risk for shock
Leukopenia-Risk for infection
Thrombocytosis- Risk for thromboembolism
Thrombocytopenia- Risk for bleeding, Risk for shock
