NUR 216 EXAM #2 QUESTIONS WITH
COMPLETE SOLUTIONS
A patient with anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the
patient's laboratory findings to include:
A) normal red blood cell (RBC) indices correct answer: D) a
hemoglobin (HB) of 8.6 g/L Which menu choice indicates that the patient understands the nurse's teaching about best dietary choices for iron-deficiency
anemia? correct answer: B) Omelet and whole wheat toast
A patient who is receiving methotrexate develops a megaloblastic anemia. The nurse will anticipate teaching the
patient about increasing oral intake of correct answer: C) folic
acid A 52-year-old patient has a new diagnosis of pernicious anemia.After teaching the patient about pernicious anemia, the nurse determines that the patient understands the disorder when the
patient states correct answer: ?? I would rather use the nasal
spray than have to get injections of vitamin B12 A patient is hospitalized for treatment of severe hemolytic anemia. An appropriate nursing action for the patient is to correct answer: alternate periods of rest and activity 1 / 3
After the nurse has finished teaching a patient about taking oral ferrous sulfate, which patient statement indicates that additional
instruction is needed? correct answer: ?? I will call the doctor if
my stools start to turn black A patient is admitted to the hospital with idiopathic aplastic anemia. Which of these collaborative problems will the nurse
include when developing the care plan? correct answer:
Potential complication: infection
A patient is admitted to the hospital with a sickle cell crisis.While caring for the patient during the crisis, it is important for
the nurse to correct answer: evaluate the effectiveness of opioid
analgesics Which statement by a patient with sickle cell anemia indicates good understanding of the nurse's teaching about prevention of
sickle cell crisis? correct answer: "risk for a crisis can be
lowered by having an annual influenza vaccination When planning discharge teaching for the patient who was admitted with a sickle cell crisis, which instruction will the
nurse include? correct answer: Avoid exposure to crowds as
much as possible During the admission assessment of a patient with hemolytic anemia, the nurse notes jaundice of the sclerae. The nurse will
plan to check the laboratory results for correct answer: the
bilirubin level 2 / 3
A patient who has been receiving a heparin infusion and warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT).Which action will the nurse include in the plan of care? correct
answer: Flush all intermittent IV lines using normal saline
During treatment of the patient with an acute exacerbation of polycythemia vera, a critical action by the nurse is to correct
answer: monitor fluid intake and output
Which nursing intervention will be included in the care plan for a patient with immune thrombocytopenic purpura (ITP)? correct
answer: ??Avoid intramuscular (IM) injections
Which laboratory information will the nurse monitor to detect heparin-induced thrombocytopenia (HIT) in a patient who is
receiving a continuous heparin infusion? correct answer:
Activated partial thromboplastin time A patient with type A hemophilia has been admitted to the hospital with severe pain and swelling in the right knee. During
the initial care of the patient, the nurse should correct answer:
Immobilize the knee A patient with von Willebrand disease is admitted to the hospital for minor knee surgery. The nurse will review the coagulation
survey to check the correct answer: Bleeding time
A routine complete blood count indicates that a patient may have myelodysplastic syndrome. At this time, the nurse will plan to teach the patient about correct answer: Bone marrow biopsy
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