Hematologic Conditions

The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?

• Increased calcium level

• Increased white blood cells

• Decreased blood urea nitrogen

• Decreased number of plasma cells in the bone marrow

The nurse is creating a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?

• Encouraging fluids

• Providing frequent oral care

• Coughing and deep breathing

• Monitoring the red blood cell count

The nurse would implement which intervention in the care of a client experiencing neutropenia as a result of chemotherapy?

• Restrict all visitors

• Restrict fluid intake

• Teach the client and family about the need for hand hygiene

• Insert an indwelling urinary catheter to prevent skin breakdown

In a severely anemic patient, the nurse would expect to find

• cyanosis and hypertension

• pulmonary edema and fibrosis

• dyspnea and increased heart rate

• dysrhythmias and expiratory wheezing

The nursing management of a patient in sickle cell crisis includes (select all that apply)

• monitoring CBC

• optimal pain management and oxygen therapy

• blood transfusions if needed and iron chelation

• rest as needed and deep vein thrombosis prophylaxis

• administration of IV iron and diet high in iron content

Priority nursing actions when caring for a hospitalized patient with a new-onset temperature of 102.2 degrees Fahrenheit and severe neutropenia include (select all that apply)

• starting the prescribed antibiotic STAT

• drawing peripheral and central line blood cultures

• ongoing monitoring of the patient's vital signs for septic shock

• taking a full set of vital signs and notifying the physician immediately

• administering transfusions of WBCs treated to decrease immunogenicity