1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Hematologic Problems Chapter 31

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.At an outpatient clinic, a 78-year-old woman is found to have a Hb of 8.7 g/dL (87 g/L) and a Hct of 35%. Based on the most common cause of these findings in the older adult, the nurse collects information regarding 1.a history of jaundice and black tarry stools. 2.a 3-day diet recall of the foods the patient has eaten. 3.any drugs that have depressed the function of the bone marrow. 4.a history of any chronic diseases such as cancer or renal disease.

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.A patient is receiving platelet transfusions for treatment of acquired thrombocytopenia. To detect the development of a platelet transfusion reaction, the nurse monitors the patient for 1.flushing, itching, and urticaria. 2.sudden onset of chills and fever. 3.urticaria, wheezing, and hypotension. 4.tachycardia, tachypnea, and hemoglobinuria.

4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.A patient with acute myelogenous leukemia is to start chemotherapy. When teaching the patient about the induction stage of chemotherapy, the best explanation by the nurse is, 1.“The drugs are started slowly to minimize side effects.” 2.“You will develop even greater bone marrow depression with risk for bleeding and infection.” 3.“It will be necessary to have high-dose treatment every day for several months.” 4.“During this time, you will regain energy and become more resistant to infection.”