Hematologic Disorders Review
1. What should be a major focus in a teaching plan for a teenager with
sickle cell anemia?
- Maintain adequate hydration.
2. Which is considered an approximate normal hematocrit value?
- Three times the hemoglobin value.
3. A nurse is caring for a patient receiving a transfusion and assesses
that the patient is wheezing and is complaining of back pain. What
nursing action should take place after stopping the transfusion?
- Notify the charge nurse.
4. A patient receiving Epogen asks how soon an increase in the red
blood cell count will occur. When should the nurse say that the initial
increase in red blood cells should be seen?
- 2 weeks.
5. What happens to the sickle-shaped red blood cells during a sickle
cell crisis?
- Obstruction of major arteries.
, 6. What information should a nurse be sure to include when preparing
discharge plans for a patient recently diagnosed with pernicious
anemia?
- Providing sufÏcient rest throughout the day.
7. What is the rationale for administering injections of vitamin B12 to
patients with pernicious anemia?
- The patient may lack the intrinsic factor necessary for
vitamin b12 absorption.
8. Which foods should a nurse include in a nutrition teaching plan for a
patient with iron-deficiency anemia?
- Beans and dried fruit.
9. Based on a nursing assessment, what is an appropriate nursing
diagnosis for a patient with hemophilia?
- Acute pain related to bleeding into closed spaces.
10. A 3-year-old African American child is diagnosed with sickle cell
anemia. The parents know that sickle cell anemia is hereditary but do
not understand why their child has the disease because neither of
them has it. What is the most accurate information to provide?
- Both parents were carriers of the sickle cell trait.
1. What should be a major focus in a teaching plan for a teenager with
sickle cell anemia?
- Maintain adequate hydration.
2. Which is considered an approximate normal hematocrit value?
- Three times the hemoglobin value.
3. A nurse is caring for a patient receiving a transfusion and assesses
that the patient is wheezing and is complaining of back pain. What
nursing action should take place after stopping the transfusion?
- Notify the charge nurse.
4. A patient receiving Epogen asks how soon an increase in the red
blood cell count will occur. When should the nurse say that the initial
increase in red blood cells should be seen?
- 2 weeks.
5. What happens to the sickle-shaped red blood cells during a sickle
cell crisis?
- Obstruction of major arteries.
, 6. What information should a nurse be sure to include when preparing
discharge plans for a patient recently diagnosed with pernicious
anemia?
- Providing sufÏcient rest throughout the day.
7. What is the rationale for administering injections of vitamin B12 to
patients with pernicious anemia?
- The patient may lack the intrinsic factor necessary for
vitamin b12 absorption.
8. Which foods should a nurse include in a nutrition teaching plan for a
patient with iron-deficiency anemia?
- Beans and dried fruit.
9. Based on a nursing assessment, what is an appropriate nursing
diagnosis for a patient with hemophilia?
- Acute pain related to bleeding into closed spaces.
10. A 3-year-old African American child is diagnosed with sickle cell
anemia. The parents know that sickle cell anemia is hereditary but do
not understand why their child has the disease because neither of
them has it. What is the most accurate information to provide?
- Both parents were carriers of the sickle cell trait.
