Exam (elaborations)
NSG 317 Module 6 Hematologic/Immunologic & Oncologic Questions
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NSG 317 Module 6 Hematologic/Immunologic & Oncologic Questions
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NSG 317 MODULE 6HEMATOLOGIC/IMMUNOLOGIC &
ONCOLOGIC QUESTIONS WITH
COMPLETE SOLUTION
m
What is the objective of managing anemia?
a) Preventing bloodborne illnesses
b) Adding more blood back into the body
c) Increasing the amount of white blood cells
d) Reversing it by treating the underlying cause - d) Reversing it by treating the underlying cause
Rationale
The objective of medical management of anemia is to reverse the disease by treating the underlying
cause. Adding more blood, increasing white blood cells, and preventing bloodborne illnesses do not
adequately address anemia.
p. 1271
The nurse is caring for an infant with iron deficiency anemia who is overweight. Why does this concern
the nurse?
a) The infant will become at risk for diabetes.
b) The infant may be getting more milk than other foods.
c) The parents are overfeeding the infant with solid foods.
d) Infants with iron-deficiency anemia should be underweight. - b) The infant may be getting more milk
than other foods.
Rationale
, When an infant with iron deficiency anemia is overweight, this may indicate that large amounts of milk
are provided, perhaps almost to the exclusion of solid foods. This means the child is not getting his or her
nutritional needs met. The parents are likely not overfeeding the infant with solid foods if the infant has
iron-deficiency anemia. The infant may or may not become at risk for diabetes, but the nurse cannot
know this for sure. Infants with iron deficiency anemia are not necessarily underweight, though many of
them are.
p. 1274
The nurse assesses an infant with sickle cell anemia (SCA). Which clinical manifestations alert the nurse
that the patient may be experiencing a vaso-occlusive crisis? Select all that apply.
a) Painful joints
b) Growth restriction
c) Visual disturbances
d) Pulmonary insufficiency
e) Swollen hands and feet - a) Painful joints
c) Visual disturbances
e) Swollen hands and feet
Rationale
Swollen hands and feet, visual disturbances, and painful joints are clinical manifestations of a vaso-
occlusive crisis. Possible growth restriction is a general clinical manifestation of SCA but not of vaso-
occlusive crisis. Pulmonary insufficiency is a clinical manifestation of chronic vaso-occlusive phenomena,
not a crisis.
p.1277
What is the most common manifestation of severe combined immunodeficiency disease (SCID)?
a) Skin rashes
b) Bloody stools
c) Chronic nosebleeds
d) Susceptibility to infection - d) Susceptibility to infection
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