Exam (elaborations)
Study 30. Hematologic Disorders
- Course
- Nursing
- Institution
- Amg School Of Licensed Practical Nursing
Study 30. Hematologic Disorders
[Show more]
Content preview
Chapter 30. Hematologic Disorders1. The nurse is assessing a client admitted with cyanotic heart disease. Which
hematology laboratory result does the nurse expect to assess?
a.
Anemia
b.
Polycythemia
c.
Normal
d.
Decreased hemoglobin
ANS: B
Polycythemia can occur as a result of hypoxia, such as that experienced at high altitude or
when oxygen is not sufficiently directed to the tissues, as in cyanotic heart disease. Anemia is
a decrease in the number of RBCs, a reduction in their hemoglobin content, or a reduced
volume of packed RBCs. Anemia results from one of two problems: either too rapid a loss of
RBCs (by covert or overt bleeding or destruction) or too slow a production of RBCs. Anemias
are categorized according to the size of the RBC (macrocytic, microcytic, normocytic) and the
content of hemoglobin in the RBC (hypochromic, normochromic). The hematology laboratory
result would not be normal because of the chronic hypoxia seen with cyanotic heart disease.
, 2. What is the best response to a parent who asks the nurse whether her 5-month-old infant
can have cows milk?
a.
You need to wait until she is 8 months old and eating solids
well. b.
Yes, if you think that she will eat enough meat to get the iron she
needs. c.
Infants younger than 12 months need iron-rich formula to get the iron they
need. d.
Try it and see how she tolerates it.
ANS: C
Infants younger than 12 months need iron-fortified formula or breast milk. Infants who drink
cows milk do not get adequate iron and are at risk for iron deficiency anemia. A 5-month-old
infant cannot get adequate iron without drinking an iron-fortified formula or taking an iron
supplement. The American Academy of Pediatrics recommends beginning solid foods at 4 to
6 months of age. Meats are typically introduced in late infancy. Counseling a parent to give a
5- month-old infant cows milk is inappropriate.
3. An assessment of a 7-month-old infant with a hemoglobin level of 6.5 mg/dL is likely
to reveal which of the following?
a.
An infant who is lethargic, pale, and
irritable b.
An infant who is thin, energetic, and sleeps
little c.
An infant who is anorexic, vomiting, and has watery
stools d.
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Yuniss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now