NC of Pt. with Hematologic & Lymphatic Disorders

What assessment data will best help the nurse determine whether intervention for neutropenia have been effective?

• Temperature

• Fatigue level

• Oxygen saturation

• Hemoglobin level

The nurse is teaching the parent of a child with hemophilia. Which of the following statements by the parent demonstrates understanding about preventing bleeding episodes?

• “My son will have to avoid contact sports.”

• “My son will have to avoid irritating foods in his diet.”

• “My son will have to grow a beard.”

• “My son will always have to live near a major hospital.”

The family of a patient with disseminated intravascular coagulation has questions about the bleeding that is occurring. Which statement by the nurse is the best response to explain why the patient is bleeding?

• “Bleeding is caused by a lack of red blood cells.”

• “Bleeding is caused by depleted white blood cells.”

• “Extremely high blood pressure forces blood from mucous membranes.”

• “Bleeding happens when the body’s clotting factors have all been used up.”

A nurse is teaching a patient with sickle cell anemia about activities to avoid. Which of the following activities the patient plans to do shows that more teaching is needed?

• Going to the beach

• Taking a long car trip

• Running in a marathon

• Listening to a concert

The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. For which condition should the nurse assess further?

• Pain

• Thrombocytopenia

• Anemia

• Neutropenia

Acute idiopathic thrombocytopenic purpura results from decreased platelet destruction by the immune system.

• True

• False

Leukemia is a malignant disease of the WBCs that affects all age groups.

• True

• False

In both forms of polycythemia the blood becomes so thick with too many RBCs that it resembles sludge.

• True

• False

How would you describe this sign?

• Papules

• Petechiae

The term anemia describes a condition in which there is a deficiency of RBCs, hemoglobin (Hgb), or both in the circulating blood.

• True

• False