Exam (elaborations) NURS 1102 PASSPOINT IMMUNE AND HEMATOLOGIC

NURS 1102 PASSPOINT IMMUNE AND HEMATOLOGIC Question 1 See full question A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determines the client needs further teaching when she makes which statement? You Selected:  "I will need more frequent appointments during the remainder of the pregnancy." Correct response:  “I will need to take an iron supplement even if my laboratory values are normal.” Explanation: Remediation: Question 2 See full question The nurse teaches the client with iron deficiency anemia that food sources with high iron content include: You Selected:  beef. Correct response:  beef. Explanation: Remediation: Question 3 See full question A young adult has been bitten by a human, and the skin on the forearm is broken. The client's last tetanus shot was about 8 years ago. The nurse should prepare the client for: You Selected:  an injection of tetanus toxoid. Correct response:  an injection of tetanus toxoid. Explanation: Remediation: Question 4 See full question Allopurinol is prescribed for a client who has chronic gout. Which comment indicates that the client understands how to take the allopurinol? NURS 1102 PASSPOINT IMMUNE AND HEMATOLOGIC You Selected:  "I must take this drug on an empty stomach." Correct response:  "I should drink plenty of fluids when taking allopurinol." Explanation: Remediation: Question 5 See full question A client is receiving a transfusion of packed red blood cells. To safely administer the blood, the nurse should: You Selected:  stay with the client during the first 15 minutes to detect signs or symptoms of a reaction. Correct response:  stay with the client during the first 15 minutes to detect signs or symptoms of a reaction. Explanation: Remediation: Question 6 See full question After teaching the parents of a child newly diagnosed with leukemia about the disease, which description if given by the mother best indicates that she understands the nature of leukemia? You Selected:  "The disease is a type of cancer characterized by an increase in immature white blood cells." Correct response:  "The disease is a type of cancer characterized by an increase in immature white blood cells." Explanation: Remediation: Question 7 See full question A client with pernicious anemia asks why she must take vitamin B12 injections forever. Which is the nurse's best response? You Selected:  “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed.” Correct response:  “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed.” Explanation: Remediation: Question 8 See full question What should the nurse should teach the client with neutropenia and the family to avoid? You Selected:  using suppositories or enemas Correct response:  using suppositories or enemas Explanation: Remediation: Question 9 See full question A complete blood count is commonly performed before a client goes into surgery. What does this test seek to identify? You Selected:  Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Correct response:  Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Explanation: Remediation: Question 10 See full question The nurse is providing discharge teaching for a client with a compromised immune system and on neutropenic precautions. When discussing types of fruits and vegetables that the client likes, which are encouraged? Select all that apply. You Selected:  Cooked corn  Broccoli florets  Bananas Correct response:  Canned peaches  Cooked corn Question 1 See full question A client takes prednisone, as ordered, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as: You Selected:  fluid retention and weight gain. Correct response:  fluid retention and weight gain. Explanation: Remediation: Question 2 See full question A client diagnosed with idiopathic thrombocytopenia purpura needs a peripherally inserted central catheter (PICC) placed. When explaining the catheter to the client, the nurse explains that one advantage of a catheter is that it can be used: You Selected:  for 2 weeks without being replaced. Correct response:  to provide long-term access to central veins. Explanation: Remediation: Question 3 See full question A nurse preparing to discharge a child with leukemia observes a family member who has a cold sharing a meal with the child. How should the nurse approach the situation? You Selected:  Tell family members to be careful to avoid the child if they're sick. Correct response:  Offer a face mask to the person with the cold and use this as an opportunity for further teaching. Explanation: Remediation: Question 4 See full question Which is an appropriate outcome for a client with rheumatoid arthritis? You Selected:  The client will maintain full range of motion in joints. Correct response:  The client will manage joint pain and fatigue to perform activities of daily living. Explanation: Remediation: Question 5 See full question A client with disseminated intravascular coagulation develops clinical manifestations of microvascular thrombosis. The nurse should assess the client for: You Selected:  petechiae. Correct response:  focal ischemia. Explanation: Remediation: Question 6 See full question A client is about to undergo bone marrow aspiration of the sternum. What should the nurse tell the client? You Selected:  "You will feel a pulling type of discomfort for a few seconds." Correct response:  "You will feel a pulling type of discomfort for a few seconds." Explanation: Remediation: Question 7 See full question A nurse is to give a client heparin 8,000 units subcutaneously. The available vial is 10,000 units/mL. How many milliliters should the nurse draw up into the syringe? Record your answer using one decimal place. Your Response:  0.8 Correct response:  0.8 Explanation: Remediation: Question 8 See full question A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process? You Selected:  "It will get better and worse again." Correct response:  "It will get better and worse again." Explanation: Remediation: Question 9 See full question A client diagnosed with systemic lupus erythematosus comes to the emergency department with severe back pain. She reports that she first felt pain after manually opening her garage door and that she is taking prednisone daily. What adverse effect of long-term corticosteroid therapy is most likely responsible for the pain? You Selected:  Osteoporosis Correct response:  Osteoporosis Explanation: Remediation: Question 10 See full question The family of a client, stung by a bee, is rushed the client to the emergency room. The client is experiencing hives and redness at the site. Upon arrival, the client states, “I feel a lump in my throat and I am sweating. I can’t breathe! I think I am going to die!” The nurse anticipates which emergency treatment next? You Selected:  Administer Albuterol 2 puffs stat. Correct response:  Administer an injection of epinephrine stat. Question 1 See full question A client with rheumatoid arthritis is being discharged with a prescription for aspirin, 600 mg P.O. every 6 hours. Which statement by the client indicates understanding of the adverse effects of the medication? You Selected:  "I know this mediation may cause bleeding so I will take it on an empty stomach." Correct response:  "I'll call my physician if I have ringing in the ears." Explanation: Remediation: Question 2 See full question A physician orders gentamicin sulfate, 80 mg I.V. every 8 hours for a client with Pseudomonas aeruginosa. The nurse should infuse this drug over at least: You Selected:  30 minutes. Correct response:  30 minutes. Explanation: Remediation: Question 3 See full question When a nurse removes an I.V. from an client with acquired immunodeficiency syndrome (AIDS), blood splashes into her eyes. What should the nurse do next? You Selected:  Rinse her eyes, contact Employee Health and document their findings. Correct response:  Rinse her eyes with water, report the incident, and go to Employee Health. Explanation: Remediation: Question 4 See full question