Hematologic Problems Discussion Questions Essay

Hematologic Problems Discussion Questions

The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. In a severely anemic patient, the nurse would expect to find
a. dyspnea and tachycardia.
b. cyanosis and pulmonary edema.
c. cardiomegaly and pulmonary fibrosis.
d. ventricular dysrhythmias and wheezing.
2. When obtaining assessment data from a patient with a microcytic,
hypochromic anemia, the nurse would question the patient about
a. folic acid intake.
b. dietary intake of iron.
c. a history of gastric surgery.
d. a history of sickle cell anemia.
3. Nursing interventions for a patient with severe anemia related to
peptic ulcer disease include (select all that apply)
a. monitoring stools for guaiac.
b. instructions for high-iron diet.
c. taking vital signs every 8 hours.
d. teaching self-injection of erythropoietin.
e. administration of cobalamin (vitamin B12) injections.
4. The nursing management of a patient in sickle cell crisis includes
(select all that apply)
a. monitoring CBC.
b. optimal pain management and O2 therapy.
c. blood transfusions if required and iron chelation.
d. rest as needed and deep vein thrombosis prophylaxis.
e. administration of IV iron and diet high in iron content.
5. A complication of the hyperviscosity of polycythemia is
a. thrombosis.
b. cardiomyopathy.
c. pulmonary edema.
d. disseminated intravascular coagulation (DIC).
6. When caring for a patient with thrombocytopenia, the nurse
instructs the patient to
a. dab his or her nose instead of blowing.
b. be careful when shaving with a safety razor.
c. continue with physical activities to stimulate thrombopoiesis.
d. avoid aspirin because it may mask the fever that occurs with
thrombocytopenia.
7. The nurse would anticipate that a patient with von Willebrand
disease undergoing surgery would be treated with administration
of vWF and
a. thrombin.
b. factor VI.
c. factor VII.
d. factor VIII.
8. DIC is a disorder in which
a. the coagulation pathway is genetically altered, leading to
thrombus formation in all major blood vessels.
b. an underlying disease depletes hemolytic factors in the blood,
leading to diffuse thrombotic episodes and infarcts.
c. a disease process stimulates coagulation processes with resultant thrombosis, as well as depletion of clotting factors, leading
to diffuse clotting and hemorrhage.
d. an inherited predisposition causes a deficiency of clotting
factors that leads to overstimulation of coagulation processes
in the vasculature.

Hematologic Problems Discussion Questions Essay

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