The nurse can expect a client with a platelet count of 8000

The nurse can expect a client with a platelet count of 8000 and WBC… The nurse can expect a client with a platelet count of 8000 and WBC count of 8000 to be placed:            1.         In a private room.            2.         On protective isolation.            3.         On bleeding precautions.            4.         On neutropenic precautions. 2.         When teaching and preparing a client for a bone marrow biopsy, the nurse would            1.         Check for iodine allergy.            2.         Position the client in fetal position with back curved.            3.         Have the client sign the consent form.            4.         Have the client remain NPO. 3.         A 28-year-old woman is diagnosed as having iron deficiency anemia. Iron dextran-injection (Imferon) is ordered. The nurse administers it using the Z track technique.  The primary reason for administering this drug via Z track is to:                 1.         Prolong the action of the drug.            2.         Prevent staining of the skin.            3.         Improve the absorption rate.            4.         Increase the speed of onset of action 4.         The nurse is discussing dietary sources of iron with a client who has iron deficiency anemia. The nurse knows the client can select a diet high in iron when she selects which menu?                     1.         Milkshake, hot dog, beets.            2.         Beef steak, spinach, orange juice.            3.         Chicken salad, green peas, coffee.            4.         Macaroni and cheese, coleslaw, lemonade. 5.         A client with iron deficiency anemia is to take ferrous sulfate. She returns to clinic in two weeks.  Which assessment by the nurse indicates the client has NOT been taking iron as ordered?                   1.         The client’s cheeks are flushed.            2.         The client reports having more energy.            3.         The client complains of nausea.                4.         The client’s stools are light brown.   6.         A 66-year-old woman is being evaluated for pernicious anemia. What signs and symptoms would the nurse expect to assess in a client with pernicious anemia?                       1.         Easy bruising.            2.         Beefy red tongue.            3.         Fine red rash on the extremities.            4.         Pruritus. 7.         The nurse is caring for a client who is newly diagnosed with pernicious anemia. The client asks why she must receive vitamin shots.  What is the best answer for the nurse to give?            1.         “Shots work faster than pills.”            2.         “Your body can not absorb Vitamin B12 from the stomach.”            3.         “Vitamins are necessary to make the blood cells.”            4.         “You can get more vitamins in a shot than a pill.” 8.         A woman who has had pernicious anemia for several years is seen in the clinic. She tells the nurse that she has a tingling in her arms and legs.  Whatshould the nurse ask initially?                 1.         “Has your activity level changed lately?”            2.         “Has your diet changed recently?”            3.         “Have you been sitting more than usual?”            4.         “Have you been taking your medicine regularly?” 9.         A one-year-old is admitted to the hospital with sickle cell anemia in crisis. Upon admission which therapy will assume priority?                          1.         Fluid administration.            2.         Exchange transfusion.            3.         Anticoagulant.            4.         IM administration of iron and folic acid. 10.      Which statement is essential for the nurse to include in discharge teaching to the parents of a young child who has sickle cell anemia?                     1.         Do not let her bump into things.  She will bruise easily.            2.         Notify the physician immediately if she develops a fever.            3.         She will need special help with feeding.            4.         Observe her frequently for difficulty breathing.     11.      The nurse has been teaching the mother of a child with hemophilia about the care he will need. Which statement the mother makes indicates a need for more instruction?                1.         “If he needs something for pain or a fever, I will give him acetaminophen instead of aspirin.”            2.         “I will take him to the dentist for regular checkups.”            3.         “I will keep him in the house most of the time.”            4.         “His medical identification bracelet arrived.” 12.      A 19-year-old college student reports to the health service with a sore throat, malaise, and fever of four days duration.  Examination shows cervical lymphadenopathy and splenomegaly.  Temperature is 103oF. Blood is positive for heterophil antibody agglutination test.  The nurse knows the student’s symptoms are most likely caused by            1.         Cytomegalovirus.            2.         Beta hemolytic streptococcus.            3.         Epstein-Barr virus.            4.         Herpes simplex virus I. 13.      A client who is diagnosed with infectious mononucleosis asks how he got this disease. The nurse’s response is based on the knowledge that the usual mode of transmission is through                  1.         Contact with an open wound in the skin.            2.         Genital contact.            3.         Contaminated water.            4.         Intimate oral contact. 14.      An 8-year-old is admitted to the unit with a diagnosis of acute lymphocytic leukemia. He was receiving a physical exam prior to playing Little League baseball.  Numerous ecchymotic areas were noted on his body.  His mother reported that he had been more tired than usual lately. The child’s mother says that he has had a cold for the last several weeks.  She asks if this is related to his leukemia.  The nurse’s response is based on the knowledge that                  1.         Leukemia causes a decrease in the number of normal white blood cells in the body and the child cannot fight infection.            2.         A chronic infection such as he has had predisposes a child to the development of leukemia.            3.         The virus responsible for colds has been implicated as a possible etiologic agent in leukemia.            4.         Having an infection prior to the onset of leukemia is merely a coincidence. 15.      A child who is receiving chemotherapy for leukemia has stomatitis. Which of the following nursing care measures is essential?                        1.         Using dental floss to clean the teeth.            2.         Frequent cleaning of the mouth with an astringent mouthwash.            3.         Use of an overbed cradle.            4.         Swabbing the mouth with moistened cotton swabs. 16.      A school age child is receiving chemotherapy for leukemia. Which statement he makes indicates the best understanding and acceptance of what is happening to him?                       1.         “I hope I won’t loose my hair like the other kids.”            2.         “See my new red hat.  I like to wear it.”            3.         “I want to go see my friend Harold who is in the hospital with meningitis.”            4.         “When I’m finished with the chemotherapy, the leukemia will be gone forever.” 17.      A five-year-old boy is admitted with a diagnosis of acute leukemia. The nurse is taking a nursing history from the child’s mother.  Which statement she makes is least likely to be related to the diagnosis of acute leukemia?               1.         “He has been so pale lately and has these little bruises and black and blue marks all over his skin.”            2.         “He has bumps I can feel on the sides of his neck and in his groin.”            3.         “He has sores in his mouth and feels so tired.”            4.         “He is having difficulty holding a crayon and forgets things.” 18.      The mother of a child with leukemia describes him as being pale and apathetic. The nurse interprets these symptoms as being an indication of                     1.         Anemia.            2.         Poor nutrition.            3.         Renal disease.            4.         Infection 19.      The mother of a child newly diagnosed with leukemia reports that her son had a cold that persisted for several weeks.  She is concerned that she did not take him to the doctor when his cold first appeared.  She asks the nurse if taking him to the doctor would have prevented him from getting leukemia. What is the best reply for the nurse to make?            1.         “It is too late to look back.”            2.         “Perhaps you should discuss this with the doctor.”            3.         “The delay did not have any effect on the course of the disease.”            4.         “We’ll never know what could have happened if he had been treated sooner.” 20.      The nurse is teaching a young woman who has been diagnosed as HIV positive.  Which comment by the person indicates a need for more instruction?            1.         “My husband and I should have a child now before the condition gets worse.”            2.         “I know several people who are HIV positive and they have not gotten sick yet.”            3.         “I hope I can swallow all those pills every day.”            4.         “I’m sorry I can’t donate blood any more.”Health Science Science Nursing MED SURG 200

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