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Chapter 29: Management of Patients with Nonmalignant Hematologic Disorders exam 2024/2025 with 100% correct answers

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Chapter 29: Management of Patients with Nonmaligna

Institution
Chapter 29: Management Of Patients With Nonmaligna

1. A client with sickle cell disease is taking narcotic analgesics for pain control. Which intervention by the nurse would decrease the risk for narcotic substance abuse? A. Encourage the client to rely on complementary and alternative therapies. B. Encourage the client to seek care from a si...

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chapter 29 management of patients with nonmaligna

Institution Chapter 29: Management of Patients with Nonmaligna
Course Chapter 29: Management of Patients with Nonmaligna

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Chapter 29: Management of Patients
with Nonmalignant Hematologic
Disorders

1. A client with sickle cell disease is taking narcotic analgesics for pain control. Which

intervention by the nurse would decrease the risk for narcotic substance abuse?

A. Encourage the client to rely on complementary and alternative therapies.

B. Encourage the client to seek care from a single provider for pain relief.

C. Teach the client to accept chronic pain as an inevitable aspect of the disease.

D. Limit the reporting of emergency department visits to the primary health care

provider. correct answersB. Encourage the client to seek care from a single provider for pain relief

Rationale: The client should be encouraged to use a single primary provider to address health care
concerns. Emergency department visits should be reported to the primary provider to achieve optimal
management of the disease. It would be inappropriate to teach the client to simply accept the pain.
Complementary therapies are usually insufficient to fully address pain in sickle cell disease.

2. A client newly diagnosed with thrombocytopenia is admitted to the medical unit. After the admission
assessment, the client asks the nurse to explain the condition. The nurse explains to this client that this
condition occurs due to which factor?

A. An attack on the platelets by antibodies

B. Decreased production of platelets

C. Impaired communication between platelets

D. An autoimmune process causing platelet malfunction correct answersB. Decreased production of
platelets

,Rationale: Thrombocytopenia can result from a decreased platelet production, increased platelet
destruction, or increased consumption of platelets. Impaired platelet communication, antibodies, and
autoimmune processes are not typical pathologies.

PTS: 1 REF: p. 932

NAT: Client Needs: Physiological Integrity: Physiological Adaptation

TOP: Chapter 29: Management of Clients With Nonmalignant Hematologic Disorders

KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply

NOT: Multiple Choice

3. A critical care nurse is caring for a client with immune hemolytic anemia. The client is not responding
to conservative treatments, and the client's condition is now becoming life-threatening. The nurse is
aware that a treatment option in this case may include which intervention?

A. Hepatectomy

B. Vitamin K administration

C. Platelet transfusion

D. Splenectomy correct answersANS: D

Splenectomy

Rationale: A splenectomy may be the course of treatment if autoimmune hemolytic anemia does not
respond to conservative treatment. Vitamin K administration is treatment for vitamin K deficiency and
does not resolve anemia. Platelet transfusion may be the course of treatment for some bleeding
disorders. Hepatectomy would not help the client.

PTS: 1 REF: p. 927

NAT: Client Needs: Safe, Effective Care Environment: Management of Care

TOP: Chapter 29: Management of Clients With Nonmalignant Hematologic Disorders

KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand

NOT: Multiple Choice

4. A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron
supplements. What should the nurse include in health education?

, A. Take the iron with dairy products to enhance absorption.

B. Increase the intake of vitamin E to enhance absorption.

C. Iron will cause the stools to darken in color.

D. Limit foods high in fiber due to the risk for diarrhea. correct answersANS: C

Iron will cause the stools to darken in color

Rationale: The nurse will inform the client that iron will cause the stools to become dark in color. Iron
should be taken on an empty stomach, as its absorption is affected by food, especially dairy products.
Clients should be instructed to increase their intake of vitamin C to enhance iron absorption. Foods high
in fiber should be consumed to minimize problems with constipation, a common side effect associated
with iron therapy.

PTS: 1 REF: p. 915

NAT: Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

TOP: Chapter 29: Management of Clients With Nonmalignant Hematologic Disorders

KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply

NOT: Multiple Choice

5. The nurse is assessing a new client with reports of acute fatigue and a sore tongue that is visibly
smooth and beefy red. This client is demonstrating signs and symptoms associated with what form of
hematologic disorder?

A. Sickle cell disease

B. Hemophilia

C. Megaloblastic anemia

D. Thrombocytopenia correct answersANS: C

Megaloblastic anemia

Rationale: A red, smooth, sore tongue is a symptom associated with megaloblastic anemia. Sickle cell
disease, hemophilia, and thrombocytopenia do not have symptoms involving the tongue.

PTS: 1 REF: p. 912

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Exam (elaborations)

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