Hematology

The nursing student is studying for a major test on Monday. She identifies which of the following as treatments for hematology?

• Blood transfusion, supplemental o2

• Administer NSAIDS

• Radiation

• Chemo

When administering a blood transfusion what is important to know

• Monitor vs frequently

• 2 RN signatures required

• an LPN can administer

• Blood can be PRCBs, Platelets, or plasma

18month old presents to ED with spoon shape nails, pica, and a HR180. A HCT and HGB was draw and the results are as followed Hgb 8, Hct 20%. What does the nurse anticipate will be given.

• Vitamin A

• Vitamin B

• Ferrous sulfate tab

• acetaminophen

What should you avoid when taking iron supplements

• cow's milk

• coke

• orange juice

• water

The nurse is reinforcing teaching on foods high in iron what are example that she would give?

• Beans

• Red meat

• Yogurt

• Turnip greens

10 year old male is admitted to the ED with tarry stools, bleeding gums, excessive bruising to extremities and has decreased ROM due to joint pain. What does the nurse anticipate happening.

• The nurse will administer aspirin

• The nurse will administer Factor VII replacement

• The nurse will offer a hot compress

• The nurse will encourage the patient to get up and move around to promote circulation.

____ is a factor VII deficiency that leads to the inability of platelets to be used in clot formation

The instructor is lecturing on important education points to cover with a hemophilia patient. The instructor knows that the students understand when they say?

• Patients need to make sure that they are playing in a safe environment.

• It is okay for a child to go bowling

• They will eventually not be crippled

• It is important to wear a medical bracelet at all times.

• They are at risk for developing vitamin D deficiency due to lack of sun exposure.

A 14 year old girl with sickle cell disease has her fourth hospitalization for sickle cell crisis. Her family is planning a ski vacation in the mountains. what should the nurse tell the parents?

• Encourage them to go on the trip.

• Go on the trip, but find a sitter for the 14 year old.

• Suggest the trip be postponed until next year.

• Explain that the high altitude may cause a crisis

The nurse is teaching the parents of a child with sickle cell disease. to instruct then on how to prevent sickle cell crisis, she should include which instructions?

• Restrict the child's fluid intake to less than 1 quart per day.

• Drink at least 2 quarts of fluid per day.

• Stay away from other teenagers.

• Avoid physical activity.