Hematologic System (nclex) Questions With Guaranteed Pass Solutions.
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Course
Hematopoietic system
Institution
Hematopoietic System
A client is scheduled for a bone marrow aspiration. What does the client's nurse do before taking the client to the treatment room for the biopsy?
1. Cleans the biopsy site with an antiseptic or povidone-iodine (Betadine)
2. Holds the client's hand and asks about concerns
3. Reviews the client's...
Hematologic System (nclex) Questions
With Guaranteed Pass Solutions.
A client is scheduled for a bone marrow aspiration. What does the client's nurse do before taking the
client to the treatment room for the biopsy?
1. Cleans the biopsy site with an antiseptic or povidone-iodine (Betadine)
2. Holds the client's hand and asks about concerns
3. Reviews the client's platelet (thrombocyte) count
4. Verifies that the client has given informed consent - Answer 4. Verifying informed consent must be
done before the procedure can be performed. A signed permit must be on the client's chart. Cleaning
the biopsy site is done before the procedure but is not the first thing that should be done. It is not done
until consent is verified. It will be done just before the procedure is performed.
A nurse is assessing an adult client's endurance in performing ADLs. What question does the nurse ask
the client?
1."Can you prepare your own meals?"
2."Has your weight changed by 5 pounds or more this year?"
3."How is your energy level-compared with last year?"
4."What medications do you take daily, weekly, monthly?" - Answer 3. This question from Gordon's
Functional Health Pattern Assessment is an activity exercise question that correctly assesses endurance
compared with self-assessment in the past. It is most likely to provide data about the client's ability and
endurance with ADLs. The client may never have been able to prepare his or her own meals. This
question does not really address endurance.
A nurse is assessing a client for hematologic function risks. The nurse seeks to determine whether there
is a risk that cannot be reduced or eliminated. Which clinical health history question does the nurse ask
to obtain this information?
1."Do you seem to have excessive bleeding or bruising?"
2. "Does anyone in your family bleed a lot?"
3. "Tell me what you eat in a day."
4. "Where do you work?" - Answer 2. An accurate family history is important because many disorders
that affect blood and blood clotting are inherited. Genetics cannot be changed. Excessive bleeding or
bruising is a symptom, not a risk.
, A nurse is teaching a client about what to expect during a bone marrow biopsy. Which statement by the
nurse accurately describes the procedure?
1. "The doctor will place a small needle in your back and will withdraw some fluid."
2. "You may experience a crunching sound or a scraping sensation as the needle punctures your bone."
3. "You will be alone because the procedure is a sterile one; we cannot allow additional people to
contaminate the area."
4. "You will be sedated, so you will not be aware of anything." - Answer 2. This description is accurate.
Proper expectations minimize the client's fear during the procedure. A very large-bore needle is used for
a bone marrow biopsy, not a small needle. The puncture is made in the hip or in the sternum, not the
back. The nurse, or sometimes a family member, is available to the client for support during a bone
marrow biopsy. The procedure is sterile at the site of the biopsy, but others can be present without
contamination at the site. A local anesthetic agent is injected into the skin around the site. The client
may also receive a mild tranquilizer or a rapid-acting sedative (such as lorazepam [Ativan]) but will not be
completely sedated. Clients are aware of what is happening during the procedure.
A client with anemia asks, "Why am I feeling tired all the time?" How does the nurse respond?
1. "How many hours are you sleeping at night?"
2. "You are not getting enough iron."
3. "You need to rest more when you are sick."
4. "Your cells are delivering less oxygen than you need." - Answer 4. The single most common symptom
of anemia is fatigue. This problem occurs because oxygen delivery to cells is less than is required to meet
normal oxygen needs.
A client with anemia asks the nurse, "Do most people have the same number of red blood cells?" How
does the nurse respond?
1."No, they don't."
2. "The number varies with gender, age, and general health."
3. "Yes, they do."
4. "You have fewer red blood cells because you have anemia."' - Answer 2. This is the most educational
and reasonable response to the client's question. the first option is true, but not informative.
A nurse is reviewing complete blood count (CBC) data for a 76-year-old client. Which decreased value
causes concern because it is not age related?
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