General Hematology & Assessment

An elevated neutrophil count with a "shift to the left" typically indicates:

• Chronic viral infection

• Acute bacterial infection

• Iron deficiency

• Vitamin B12 deficiency

Why is ongoing hemoglobin monitoring critical during active bleeding?

• To check platelet production

• To detect electrolyte imbalance

• To guide treatment decisions and detect rebleeding early

• To assess for infection

Which combination improves iron absorption?

• Iron-rich foods with calcium

• Iron-rich foods with vitamin C

• Iron-rich foods with tea

• Iron supplements with coffee

What does the reticulocyte count evaluate?

• Clotting ability

• Bone marrow production of RBCs

• White blood cell levels

• Iron storage capacity

Which symptom is NOT typically associated with anemia?

• Fatigue

• Pallor

• Shortness of breath

• Hypertension

When a client with anemia reports dizziness, the nurse should:

• Administer oxygen

• Encourage rapid ambulation

• Raise the head of bed immediately

• Monitor for orthostatic hypotension and fall risk

To prevent orthostatic hypotension in an anemic client, the nurse should instruct them to:

• Lie flat for extended periods

• Rise slowly from sitting or lying position

• Limit fluid intake

• Perform resistance exercises

During the first 15 minutes of a blood transfusion, the nurse should:

• Leave the client unattended

• Stay with the client to monitor for reactions

• Increase the transfusion rate

• Encourage fluid intake

A priority sign prompting the nurse to stop a blood transfusion is:

• Fever and chills

• Mild headache

• Slight nausea

• Increased appetite

Before administering blood, the nurse must verify:

• IV site location

• Blood type, volume, and informed consent

• Urine output

• Family history of anemia