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WorksheetsManagement of Patients with Nonmalignant Hematologic Disorders
Total questions: 35
Worksheet time: 9hrs 45mins
(a) is a condition in which the hemoglobin concentration is lower than normal, reflecting the presence of fewer than the normal number of erythrocytes within the circulatory system.
A healthy person can often tolerate as much as a (a) % gradual reduction in hemoglobin without pronounced symptoms or significant incapacity.
Complications of severe anemia include ________, ________, and ________.
(a)
The overall prevalence of anemia increases with age, from ____to____% in people aged 65 to 69, to ____to____% in people over age 85.
(a)
A (a) assessment should be performed for patients with known megaloblastic anemia.
________ and ________ should not be taken with iron preparations, because they greatly diminish the absorption of iron.
(a)
(a) is a rare disease caused by a decrease in or damage to marrow stem cells, damage to the microenvironment within the marrow, or replacement of the marrow with fat.
Chronic use of ________ to reduce gastric acid production can inhibit B12 absorption, as can the use of ________ in managing diabetes.
(a)
Assessment of patients who have or are at risk for megaloblastic anemia includes inspection of the ________, ________, and ________.
(a)
(a) is a severe hemolytic anemia that results from inheritance of the sickle hemoglobin gene, which causes the hemoglobin molecule to be defective.
(a) is a controversial treatment strategy that treats DIC by interrupting the thrombosis process.
Name five factors that influence the development of anemia-associated symptoms.
When the patient has anemia, what medical management goal will the nurse assist the patient and health care team in achieving?
Describe how anemia impacts the older adult patient.
When the nurse is educating the patient and family about a healthy diet for the treatment of iron deficiency anemia, what should be included?
List the four most common causes of iron deficiency anemia in men and postmenopausal women.
What chemical agents may be responsible for producing bone marrow aplasia?
What diagnostic findings are present in patients who have sickle cell trait versus those present in patients who have sickle cell disease?
Describe at least five types of situations in which the transfusion of red blood cells (RBCs) is highly effective.
Which triggers may lead to the development of disseminated intravascular coagulation (DIC)?
The nurse observes a coworker eating ice frequently. The nurse encourages the coworker to have an examination and diagnostic workup with the health care provider because frequently eating ice may indicate which type of anemia?
Iron deficiency anemia
Megaloblastic anemia
Sickle cell disease
Aplastic anemia
The nurse is performing an assessment for a patient with anemia admitted to the hospital for the administration of blood transfusions. Why would the nurse need to include a nutritional assessment for this patient?
It is part of the required assessment information.
It is important for the nurse to determine what type of foods the patient will eat.
It may indicate deficiencies in essential nutrients.
It will determine what type of anemia the patient has.
The nurse is assessing a patient who is a strict vegetarian. Which type of anemia is this patient at greatest risk for?
Iron deficiency anemia
Aplastic anemia
Megaloblastic anemia
Sickle cell disease
The nurse is assessing a patient who reports feeling “constantly tired and very weak.” The patient reports a very sore tongue, and upon observing the patient’s oral cavity, the nurse notices the tongue is beefy red. Which type of anemia do these findings correlate with?
Iron deficiency anemia
Megaloblastic anemia
Sickle cell disease
Aplastic anemia
A patient describes numbness in the arms and hands with a tingling sensation and frequent stumbling when walking. Which vitamin deficiency does the nurse identify may contribute to some of these symptoms?
Thiamine
Folate
B12
Iron
The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption of iron when eating these foods. Which can the nurse inform the patient will enhance the absorption?
Eating calf's liver with a glass of orange juice
Eating leafy green vegetables with a glass of water
Eating apple slices with carrots
Eating a steak with mushrooms
A patient with end-stage kidney disease (ESKD) develops anemia. When reviewing the laboratory studies, which finding is significant in this stage of anemia?
Potassium level of 5.2 mEq/L
Magnesium level of 2.5 mg/dL
Calcium level of 9.4 mg/dL
Creatinine level of 6 mg/100 mL
A patient with end-stage kidney disease (ESKD) is taking recombinant erythropoietin for the treatment of anemia. Which laboratory study will be obtained at least monthly related to this medication?
Potassium level
Creatinine level
Hemoglobin level
Folate levels
A patient who had gastric bypass surgery 3 years ago is experiencing fatigue. The patient takes pantoprazole for the treatment of frequent heartburn. Which type of anemia is this patient at risk for?
Aplastic anemia
Iron deficiency anemia
Sickle cell disease
Pernicious anemia
The nurse is preparing the patient for a test to determine the cause of vitamin B12 deficiency. The patient will receive a small oral dose of radioactive vitamin B12 followed by a large parenteral dose of nonradioactive B12. Which test is the patient being prepared for?
Bone marrow aspiration
Schilling test
Bone marrow biopsy
Magnetic resonance imaging (MRI) study
Which patient assessed by the nurse is identified as most likely to be affected by sickle cell disease?
A 14-year-old African American boy
A 26-year-old Eastern European Jewish woman
An 18-year-old Chinese woman
A 28-year-old Israeli man
A patient with sickle cell disease, brought to the emergency department by a parent, has a fever of 101.6°F, heart rate of 116, a respiratory rate of 32, and bilateral wheezes. Which do these findings indicate to the nurse?
Pneumocystis pneumonia
Acute chest syndrome
An exacerbation of asthma
Pulmonary edema
A patient with sickle cell disease is to begin treatment with hydroxyurea. Which education does the nurse provide about the benefits of treatment with this medication? (Select all that apply.)
Fewer painful episodes of sickle cell crisis
Lower incidence of acute chest syndrome
Decreased need for blood transfusions
Decreased need for other analgesic medications
Ability to reverse the damage done from sickling of cells
A patient with sickle cell disease comes to the emergency department reporting severe pain in the back, right hip, and right arm. Which action is important for the nurse to perform?
Administer aspirin.
Administer ibuprofen.
Start an intravenous line with dextrose 5% in 0.24 normal saline.
Begin oxygen at 2 L/min.
A patient is taking prednisone 60 mg/day for the treatment of an acute exacerbation of Crohn's disease. The patient has developed lymphopenia with a lymphocyte count of less than 1500 mm3. Which will the nurse monitor the patient for?
The onset of a bacterial infection
Bleeding
Abdominal pain
Diarrhea
