100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
HEMATOLOGIC DISORDER NCLEX ACTUAL EXAM QUESTIONS WITH ALL CORRECT ANSWERS A GRADED $12.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. HEMATOLOGIC DISORDER NCLEX
  4.  
  5. HEMATOLOGIC DISORDER NCLEX

Exam (elaborations)

HEMATOLOGIC DISORDER NCLEX ACTUAL EXAM QUESTIONS WITH ALL CORRECT ANSWERS A GRADED

 0 purchase
  • Course
  • HEMATOLOGIC DISORDER NCLEX
  • Institution
  • HEMATOLOGIC DISORDER NCLEX

HEMATOLOGIC DISORDER NCLEX ACTUAL EXAM QUESTIONS WITH ALL CORRECT ANSWERS A GRADED A patient arrived to the clinic complaining of generalized pruritus and pain in the extremities. He has a history of diabetes, HTN, dyslipidemia, COPD, and A-fib. His blood pressure is 155/90. His face is a ruddy c...

[Show more]

Preview 2 out of 10  pages

Document information

  • October 30, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • hematologic disorder nclex
  • hematologic disorder nclex actual exam questions

Written for

  • HEMATOLOGIC DISORDER NCLEX
  • HEMATOLOGIC DISORDER NCLEX

Seller

avatar-seller
Perfectscorer

Reviews received

Content preview

HEMATOLOGIC DISORDER NCLEX
ACTUAL EXAM QUESTIONS WITH
ALL CORRECT ANSWERS A
GRADED
A patient arrived to the clinic complaining of generalized pruritus and pain in the
extremities. He has a history of diabetes, HTN, dyslipidemia, COPD, and A-fib. His
blood pressure is 155/90. His face is a ruddy color. On palpation of his abdomen, his
spleen is palpable. His blood values indicate a Hgb of 18.5 and Hct of 60%. The nurse
suspects which diagnosis?
A) Polycythemia Vera
B) Multiple Myeloma
C) Thrombocytopenia
D) Secondary Polycythemia - Answer-Answer: D. based on a history of COPD, the
nurse suspects that the polycythemia is based on the secondary cause of chronic
reduced oxygen intake. Other possible causes of secondary polycythemia would include
smoking history, cyanotic heart disease, or even living in a high altitude. There are also
several other causes. If a cause is noted, polycythemia Vera (primary polycythemia) is
ruled out

The patient with polycythemia Vera asks you "Why the **** am I taking aspirin!? I never
needed any medications before!" What is the best response by the nurse?
A) The aspirin is prescribed in order to treat HA, a common symptom of this disease
B) Aspirin has been proven to be effective in preventing all complications of this
disorder
C) This medication will help reduce the burning pain you have in your extremities
D) If I wanted you to ask a question, I would have let you know. Now shut up and take
your pill. - Answer-Answer: C. Aspirin is prescribed to help with erythromelalgia which is
a problem caused by PV which causes warmth, redness, and burning pain in the
extremities. Cool compresses may also help with this problem. It is important to monitor
patients taking aspirin for bleeding because patients with PV are already at an
increased risk for bleeding which could be exacerbated by aspirin use.

You are providing discharge teaching to the patient with polycythemia Vera about
treating pruritus. Which of the following statements indicates the need for further
teaching?
A) A cold ice pack can help relieve some of my itching
B) I will take some Benadryl to help relieve the itching
C) Water will probably make my itching worse rather than help it

, D) My doctor may discuss the use of Interferon with me which could help relieve my
itching - Answer-Answer: B. Use of antihistamines are not effective in relieving pruritus
caused by polycythemia. Cold compresses may help relieve itching (avoid warm or hot).
Water often aggravates pruritus with polycythemia Vera (aquagenic pruritus). Interferon,
a myelosuppressive agent given to high risk patients could help relieve itching.

The nurse is providing teaching to the patient diagnosed with Polycythemia Vera. Which
statement, if made by the patient, indicates the need for further teaching?
A) I need to make sure I stay active to prevent clot formation
B) I guess I will have to stop drinking all my alcohol now. Poop.
C) I should limit my bath time to less than thirty minutes
D) I will need to take an iron supplement to help replace what is taken away by
therapeutic blood draws - Answer-Answer: D. The patient with polycythemia vera should
NEVER take an iron supplement. It will stimulate further RBC production which would
be a negative effect. Staying active to avoid clot formation is important as this is a major
complication of this disorder. Limiting or avoiding alcohol will help minimize risk for
bleeding. Limiting baths will help keep pruritus from being aggravated.

The nurse is taking care of the 73 year old patient with polycythemia vera. The nurse is
most concerned when the patient mentions which of the following?
A) I've had a UTI in the past so I've been drinking cranberry juice to prevent this from
happening again
B) I want to be healthy so I started taking a daily multivitamin
C) I had my last blood draw about a week ago now
D) My doctor started me on a blood pressure medication called Metroprolol - Answer-
Answer: B. Multivitamins often contain iron which would further stimulate blood
production. It would be important to make sure the vitamin did not contain that
ingredient before the client continued with its use. All other statements are not
concerning

Which of the following symptoms is expected with hemoglobin of 10 g/dl?
a. None
b. Pallor
c. Palpitations
d. Shortness of breath - Answer-Answer: None. Symptoms are not expected with mild
anemia

A 72 year old male walks into the clinic complaining of lower back pain. He says he
feels fine in the morning but that his Alieve doesn't work well enough at night time. His
serum protein levels are elevated. Which of the following assessment findings is most
concerning to the nurse?
A) The patient tells you "I have felt more weak and tired lately too"
B) My mother had a history of osteoporosis
C) The patient says he has been constipated
D) The patient says "I haven't peed as much in the past week as I used to" - Answer-
Answer: D. This is a sign of decreasing renal function and possible renal failure, a

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Perfectscorer. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67479 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$12.99
  • (0)
Add to cart
Added