3rd Semester Nursing Exam 4 Quiz

What equipment would the nurse need to perform a hematological assessment? Select all that apply.

• Gloves

• Otoscope

• Stethoscope

• Blood pressure cuff

• Pen light

The nurse knows that erythropoietin is a growth factor that is required for stem cell specialization. Which sign/symptom would the nurse observe if erythropoietin is lacking or not performing its role?

• Elevated body temperature

• Bruising and ecchymosis

• Swelling of lymph nodes

• Fatigue and exhaustion

During a physical assessment the nurse gently palpates the patient's sternum and the patient reports tenderness to touch. Why would the nurse report this finding to the health care provider?

• Hematology problems increase the risk for rib fractures

• Pernicious anemia causes fissures in the underlying structures

• Elicited tenderness could signal myocardial infarction

• Rib or sternal tenderness may occur with leukemia

Based on the knowledge of physiologic triggers for red blood cell (RBC) production, the nurse would anticipate which chronic health condition to be associated with an increase in the RBC production?

• Diabetes mellitus

• Osteoarthritis

• Chronic obstructive pulmonary disease

• Chronic kidney disease

The patient is admitted with chronic liver disorder and will be receiving Vitamin K to address on of the problems associated with the disorder. Which clinical manifestation is the nurse most likely to observe before vitamin K therapy is initiated?

• Sore throat and a smooth tongue

• Bruising and bleeding at the venipuncture site

• Fever and increased white blood cell count

• Calf swelling due to deep vein thrombosis

A deficiency in any of the anticlotting factors, such as Protein C, protein S, and antithrombin III increases the patient's risk for which disorder(s)? Select all that apply.

• Pulmonary embolism

• Myocardial Infarction

• Hemolytic Anemia

• Stroke

• Pernicious Anemia

The nurse is interviewing a patient who might be a candidate for fibrolytic therapy for treatment of myocardial infarction. Why is determining the time of symptom onset essential for decision making?

• Fibrinolytic drugs will not dissolve clots that are older than 6 hours

• Clots that are older than 6 hours are tightly meshed and complete

• Tissue that is anoxic for more than 6 hours is unlikely to benefit

• After 6 hours, the patient is most likely to have excessive bleeding

The home health nurse notices that new medications were prescribed for a patient during a recent hospitalization. In addition, the patient reports taking a daily low-dose aspirin, but aspirin is not on the medication reconciliation list. Becauseof the aspirin, the nurse is MOST LIKELY to call the prescribing health care provider for clarification of which type of medication?

• Vitamin Supplement

• Platelet Inhibitor

• Antihypertensive

• Erythrocyte stimulating agent

In assessing the patient's hematologic status, which questions would the nurse include? Select all that apply

• Have you had unusual or increased fatigue?

• Have you ever had radiation therapy?

• Do you have a personal or family history of blood disorders?

• Have you ever had a job that exposed you to chemicals?

• What drugs have you used in the past 3 days?

An experienced nurse is supervising a new nurse who is assessing a patient with a suspected hematolgic problem. The experienced nurse would intervene if the new nurse performed which action?

• Palpated the edge of the liver in the right upper quadrant

• Auscultated the heart for abnormal heart sounds or irregular rhythms

• Used the fingertips to firmly press over the ribs or sternum

• Palpated the left upper quadrant to locate an enlarged spleen