Emergency Nursing Orientation 3.0:
Hematologic and Oncologic Emergencies
For a patient with chronic immune thrombocytopenia, which intervention is
the initial treatment?
A. Infuse intravenous immunoglobulin.
B. Administer prednisone (Deltasone).
C. Prepare the patient for a splenectomy.
D. Administer cyclophosphamide (Cytoxan). - -B. Administer prednisone
(Deltasone).
-Which herb can decrease the clotting time?
A. Evening primrose
B. Cinnamon
C. Garlic
D. Skull cap - -B. Cinnamon
-A patient with severe neutropenia has a temperature of 100.4°F (38°C).
Which intervention is indicated for this patient?
A. Obtain blood cultures.
B. Maintain respiratory isolation.
C. Administer packed red blood cells.
D. Administer antibody-purified factor IX. - -A. Obtain blood cultures.
-Which adjunct is most effective in managing adults with sickle cell disease?
A. Hydroxyurea (Droxin)
B. Heparin
C. Prednisone (Deltasone)
D. Rho(D) immunoglobulin (RhoGAM) - -A. Hydroxyurea (Droxin)
-In a patient with immune thrombocytopenic purpura, which finding should
you expect?
A. Tachypnea
B. Severe pain
C. Petechiae
D. Narrowing pulse pressure - -C. Petechiae
-Which disorder is an inherited disease?
, A. Syndrome of inappropriate antidiuretic hormone
B. Acute idiopathic thrombocytopenic purpura
C. Acute leukemia
D. Sickle cell disease - -D. Sickle cell disease
A. It is caused by immune autoreactive antibodies.
B. It occurs primarily in adolescents.
C. It is more common in women.
D. It follows a bacterial infection. - -A. It is caused by immune autoreactive
antibodies.
-A patient with an absolute neutrophil count of 600 cell/mm3 is at which
level of risk for infection?
A. None
B. Mild
C. Moderate
D. High - -C. Moderate
-When caring for a patient with superior vena cava syndrome, you should be
alert for which finding?
A. Hemarthrosis
B. Abdominal pain
C. Laryngeal swelling
D. Petechiae - -C. Laryngeal swelling
-A patient with hemophilia who fell off a skateboard is at risk for which
problem?
A. Acute chest syndrome
B. Spinal cord compression
C. Hemarthrosis
D. Superior vena cava syndrome - -C. Hemarthrosis
-Which blood product contains the largest amount of factor VIII?
A. Fresh frozen plasma
B. Cryoprecipitate
C. Platelets
D. Packed red blood cells - -B. Cryoprecipitate
-Which finding is common among patients with acute anemia?
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