NURS 170 CLOTTING #1-5 (HESI CONCEPT) NCLEX
QUESTIONS WITH ACCURATE ANSWERS
A client is admitted to the hospital with pancytopenia as a result of
chemotherapy. Which information will the nurse provide to minimize the risk for
complications?
A. Avoid activities that risk traumatic injuries and exposure to infection
B. Perform frequent mouth care with a firm toothbrush
C. Increase oral intake to a minimum of 3 L daily
D. Report any unusual muscle cramps or tingling sensations in the extremities
correct answer A. Avoid activities that risk traumatic injuries and exposure to
infection
Reduced platelets increase the likelihood of uncontrolled bleeding; reduced
lymphocytes increase susceptibility to infection. Aggressive oral hygiene can
precipitate bleeding from the gums. Although fluids may be increased to flush out
the toxic byproducts of chemotherapy, this has no effect on pancytopenia. Muscle
cramps are tingling sensations in the extremities are at adaptations to
hypocalcemia; hypocalcemia is unrelated to pancytopenia.
A client who has a habit of smoking is n estrogen therapy. Which condition is the
client at most risk of developing?
A. Thrombosis
B. Gastrointestinal upset
C. Risk of developing cancer
D. Decreased effectiveness of estrogen correct answer A. Thrombosis
,Smoking along with estrogen therapy may increase the risk of thrombosis.
Estrogen taken on an empty stomach because gastrointestinal upset. Estrogen is
not prescribed to clients with endometrial or breast cancer. The effectiveness of
estrogen decreases with the use of anticoagulants, rifampicin, and St. John's wort
A client with chronic liver disease reports, "My gums have been bleeding
spontaneously". The nurse identifies small hemorrhagic lesions on the client's
face. The nurse concludes that the client needs which additional supplement?
A. Bile salts
B. Folic acid
C. Vitamin A
D. Vitamin K correct answer D. Vitamin K
that soluble vitamin K is essential for synthesis of pro thrombin by the liver; a lack
results in hyperprothrombinemia, in adequate coagulation, and hemorrhage.
Although cirrhosis may interfere with production of bile, which contains the Billy
Rubin needed for optimum absorption of vitamin K, the best and quickest manner
to counteract the bleeding is to provide vitamin K intramuscularly. Folic acid is a
coenzyme with vitamins B12 and see in the formation of nucleic acid's and heme;
that's a deficiency may lead to anemia, bleeding. Vitamin a deficiency contributes
to the development of pulling neuritis and beriberi, not hemorrhage.
After surgery, a client reports sudden, severe chest pain and begins coughing. The
nurse suspects the client has a pulmonary embolus based on which characteristic
of the client's sputum?
A. Pink
B. Clear
C. Green
D. Yellow correct answer A. Pink
, With a pulmonary embolus, there is partial or complete occlusion of the
pulmonary blood flow; when infarcted areas or areas of atelectasis produce of
alveolar damage, Red blood cells move into the alveoli, resulting in hemoptysis.
Clear sputum is associated with a viral infection. Green and yellow sputum are
associated with a bacterial infection.
After the nurse has finished teaching a client about sickle cell anemia, which
statement indicates that the client has a correct understanding of the condition?
A. "I have abnormal platelets"
B. "I have abnormal hemoglobin"
C. "I have abnormal hematocrit"
D. "I have abnormal white blood cells" correct answer B. "I have abnormal
hemoglobin"
The patient with sickle cell anemia has abnormal hemoglobin, hemoglobin S,
causing the RBCs to stiffen and elongate into a sickle. Although it can affect
hematocrit, it is really a result of the abnormal hemoglobin. The disorder affects
hemoglobin rather than platelets or WBCs.
After the nurse has finished teaching a postoperative client about prevention of
pulmonary embolism, which client statement indicates that the teaching has been
effective?
A. "I will avoid crossing my legs"
B. "Pillows placed under my knees will help avoid clots"
C. "Staying on bed rest as long as possible is best for me"
D. "Three times every day I will massage my lower legs to get blood moving"
correct answer A. "I will avoid crossing my legs"
QUESTIONS WITH ACCURATE ANSWERS
A client is admitted to the hospital with pancytopenia as a result of
chemotherapy. Which information will the nurse provide to minimize the risk for
complications?
A. Avoid activities that risk traumatic injuries and exposure to infection
B. Perform frequent mouth care with a firm toothbrush
C. Increase oral intake to a minimum of 3 L daily
D. Report any unusual muscle cramps or tingling sensations in the extremities
correct answer A. Avoid activities that risk traumatic injuries and exposure to
infection
Reduced platelets increase the likelihood of uncontrolled bleeding; reduced
lymphocytes increase susceptibility to infection. Aggressive oral hygiene can
precipitate bleeding from the gums. Although fluids may be increased to flush out
the toxic byproducts of chemotherapy, this has no effect on pancytopenia. Muscle
cramps are tingling sensations in the extremities are at adaptations to
hypocalcemia; hypocalcemia is unrelated to pancytopenia.
A client who has a habit of smoking is n estrogen therapy. Which condition is the
client at most risk of developing?
A. Thrombosis
B. Gastrointestinal upset
C. Risk of developing cancer
D. Decreased effectiveness of estrogen correct answer A. Thrombosis
,Smoking along with estrogen therapy may increase the risk of thrombosis.
Estrogen taken on an empty stomach because gastrointestinal upset. Estrogen is
not prescribed to clients with endometrial or breast cancer. The effectiveness of
estrogen decreases with the use of anticoagulants, rifampicin, and St. John's wort
A client with chronic liver disease reports, "My gums have been bleeding
spontaneously". The nurse identifies small hemorrhagic lesions on the client's
face. The nurse concludes that the client needs which additional supplement?
A. Bile salts
B. Folic acid
C. Vitamin A
D. Vitamin K correct answer D. Vitamin K
that soluble vitamin K is essential for synthesis of pro thrombin by the liver; a lack
results in hyperprothrombinemia, in adequate coagulation, and hemorrhage.
Although cirrhosis may interfere with production of bile, which contains the Billy
Rubin needed for optimum absorption of vitamin K, the best and quickest manner
to counteract the bleeding is to provide vitamin K intramuscularly. Folic acid is a
coenzyme with vitamins B12 and see in the formation of nucleic acid's and heme;
that's a deficiency may lead to anemia, bleeding. Vitamin a deficiency contributes
to the development of pulling neuritis and beriberi, not hemorrhage.
After surgery, a client reports sudden, severe chest pain and begins coughing. The
nurse suspects the client has a pulmonary embolus based on which characteristic
of the client's sputum?
A. Pink
B. Clear
C. Green
D. Yellow correct answer A. Pink
, With a pulmonary embolus, there is partial or complete occlusion of the
pulmonary blood flow; when infarcted areas or areas of atelectasis produce of
alveolar damage, Red blood cells move into the alveoli, resulting in hemoptysis.
Clear sputum is associated with a viral infection. Green and yellow sputum are
associated with a bacterial infection.
After the nurse has finished teaching a client about sickle cell anemia, which
statement indicates that the client has a correct understanding of the condition?
A. "I have abnormal platelets"
B. "I have abnormal hemoglobin"
C. "I have abnormal hematocrit"
D. "I have abnormal white blood cells" correct answer B. "I have abnormal
hemoglobin"
The patient with sickle cell anemia has abnormal hemoglobin, hemoglobin S,
causing the RBCs to stiffen and elongate into a sickle. Although it can affect
hematocrit, it is really a result of the abnormal hemoglobin. The disorder affects
hemoglobin rather than platelets or WBCs.
After the nurse has finished teaching a postoperative client about prevention of
pulmonary embolism, which client statement indicates that the teaching has been
effective?
A. "I will avoid crossing my legs"
B. "Pillows placed under my knees will help avoid clots"
C. "Staying on bed rest as long as possible is best for me"
D. "Three times every day I will massage my lower legs to get blood moving"
correct answer A. "I will avoid crossing my legs"
