Hematologic Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition

Chapter 33: Hematologic Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What should be a major focus in a teaching plan for a teenager with sickle cell anemia? a. Limit tobacco use to no more than two cigarettes a day. b. Eat foods high in iron and vitamin B. c. Maintain environmental temperature at 65° F to 68° F. d. Maintain adequate hydration. ANS: D The maintenance of adequate fluid intake (4-6 L/day) prevents hemoconcentration. The use of alcohol and tobacco are contraindicated for the patient with sickle cell anemia as the cause vasoconstriction. Warm environments are more therapeutic as warm environments do not cause vasoconstriction. DIF: Cognitive Level: Application REF: p. 638 OBJ: 6 TOP: Sickle Cell Anemia KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. Which is considered an approximate normal hematocrit value? a. Three times the hemoglobin value b. The same as the hemoglobin value c. Four times lower than the red blood cell count d. Same as the red blood cell count ANS: A Hematocrit is approximately three times the hemoglobin value