Brunner & Suddarth. Test Bank
(Chapter 33)
1). A nurse is caring for a patient who has sickle cell anemia and the nurse's
assessment reveals the possibility of substance abuse. What is the nurse's most
appropriate action?
A) Encourage the patient to rely on complementary and alternative therapies.
B) Encourage the patient to seek care from a single provider for pain relief.
C) Teach the patient to accept chronic pain as an inevitable aspect of the disease.
D) Limit the reporting of emergency department visits to the primary health care
provider. - answerB) Encourage the patient to seek care from a single provider for pain
relief.
Feedback:
The patient should be encouraged to use a single primary health care provider to
address health care concerns. Emergency department visits should be reported to the
primary health care provider to achieve optimal management of the disease. It would
inappropriate to teach the patient to simply accept his or her pain. Complementary
therapies are usually insufficient to fully address pain in sickle cell disease.
2). A patient newly diagnosed with thrombocytopenia is admitted to the medical unit.
After the admission assessment, the patient asks the nurse to explain the disease.
What should the nurse explain to this patient?
A) There could be an attack on the platelets by antibodies.
B) There could be decreased production of platelets.
C) There could be impaired communication between platelets.
D) There could be an autoimmune process causing platelet malfunction. - answerB)
There could be decreased production of platelets.
Feedback:
Thrombocytopenia can result from decreased platelet production, increased platelet
destruction, or increased consumption of platelets. Impaired platelet communication,
antibodies, and autoimmune processes are not typical pathologies.
3). A critical care nurse is caring for a patient with autoimmune hemolytic anemia. The
patient is not responding to conservative treatments, and his condition is now becoming
life-threatening. The nurse is aware that a treatment option in this case may include
what?
A) Hepatectomy
, B) Vitamin K administration
C) Platelet transfusion
D) Splenectomy - answerD) Splenectomy
Feedback:
A splenectomy may be the course of treatment if autoimmune hemolytic anemia does
not respond to conservative treatment. Vitamin K administration is the treatment for
vitamin K deficiency and does not resolve anemia. Platelet transfusion may be the
course of treatment for some bleeding disorders. Hepatectomy would not help the
patient.
4). A nurse is providing education to a patient with iron deficiency anemia who has been
prescribed iron supplements. What should the nurse include in health education?
A) Take the iron with dairy products to enhance absorption.
B) Increase the intake of vitamin E to enhance absorption.
C) Iron will cause the stools to darken in color.
D) Limit foods high in fiber due to the risk for diarrhea. - answerC) Iron will cause the
stools to darken in color.
Feedback:
The nurse will inform the patient that iron will cause the stools to become dark in color.
Iron should be taken on an empty stomach, as its absorption is affected by food,
especially dairy products. Patients should be instructed to increase their intake of
vitamin C to enhance iron absorption. Foods high in fiber should be consumed to
minimize problems with constipation, a common side effect associated with iron
therapy.
5). The nurse is assessing a new patient with complaints of overwhelming fatigue and a
sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs
and symptoms associated with what form of hematologic disorder?
A) Sickle cell anemia
B) Hemophilia
C) Megaloblastic anemia
D) Thrombocytopenia - answerC) Megaloblastic anemia
Feedback:
A red, smooth, sore tongue is a symptom associated with megaloblastic anemia. Sickle
cell disease, hemophilia, and thrombocytopenia do not have symptoms involving the
tongue.
6). A patient with renal failure has decreased erythropoietin production. Upon analysis
of the patient's complete blood count, the nurse will expect which of the following
results?
(Chapter 33)
1). A nurse is caring for a patient who has sickle cell anemia and the nurse's
assessment reveals the possibility of substance abuse. What is the nurse's most
appropriate action?
A) Encourage the patient to rely on complementary and alternative therapies.
B) Encourage the patient to seek care from a single provider for pain relief.
C) Teach the patient to accept chronic pain as an inevitable aspect of the disease.
D) Limit the reporting of emergency department visits to the primary health care
provider. - answerB) Encourage the patient to seek care from a single provider for pain
relief.
Feedback:
The patient should be encouraged to use a single primary health care provider to
address health care concerns. Emergency department visits should be reported to the
primary health care provider to achieve optimal management of the disease. It would
inappropriate to teach the patient to simply accept his or her pain. Complementary
therapies are usually insufficient to fully address pain in sickle cell disease.
2). A patient newly diagnosed with thrombocytopenia is admitted to the medical unit.
After the admission assessment, the patient asks the nurse to explain the disease.
What should the nurse explain to this patient?
A) There could be an attack on the platelets by antibodies.
B) There could be decreased production of platelets.
C) There could be impaired communication between platelets.
D) There could be an autoimmune process causing platelet malfunction. - answerB)
There could be decreased production of platelets.
Feedback:
Thrombocytopenia can result from decreased platelet production, increased platelet
destruction, or increased consumption of platelets. Impaired platelet communication,
antibodies, and autoimmune processes are not typical pathologies.
3). A critical care nurse is caring for a patient with autoimmune hemolytic anemia. The
patient is not responding to conservative treatments, and his condition is now becoming
life-threatening. The nurse is aware that a treatment option in this case may include
what?
A) Hepatectomy
, B) Vitamin K administration
C) Platelet transfusion
D) Splenectomy - answerD) Splenectomy
Feedback:
A splenectomy may be the course of treatment if autoimmune hemolytic anemia does
not respond to conservative treatment. Vitamin K administration is the treatment for
vitamin K deficiency and does not resolve anemia. Platelet transfusion may be the
course of treatment for some bleeding disorders. Hepatectomy would not help the
patient.
4). A nurse is providing education to a patient with iron deficiency anemia who has been
prescribed iron supplements. What should the nurse include in health education?
A) Take the iron with dairy products to enhance absorption.
B) Increase the intake of vitamin E to enhance absorption.
C) Iron will cause the stools to darken in color.
D) Limit foods high in fiber due to the risk for diarrhea. - answerC) Iron will cause the
stools to darken in color.
Feedback:
The nurse will inform the patient that iron will cause the stools to become dark in color.
Iron should be taken on an empty stomach, as its absorption is affected by food,
especially dairy products. Patients should be instructed to increase their intake of
vitamin C to enhance iron absorption. Foods high in fiber should be consumed to
minimize problems with constipation, a common side effect associated with iron
therapy.
5). The nurse is assessing a new patient with complaints of overwhelming fatigue and a
sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs
and symptoms associated with what form of hematologic disorder?
A) Sickle cell anemia
B) Hemophilia
C) Megaloblastic anemia
D) Thrombocytopenia - answerC) Megaloblastic anemia
Feedback:
A red, smooth, sore tongue is a symptom associated with megaloblastic anemia. Sickle
cell disease, hemophilia, and thrombocytopenia do not have symptoms involving the
tongue.
6). A patient with renal failure has decreased erythropoietin production. Upon analysis
of the patient's complete blood count, the nurse will expect which of the following
results?
