Chapter 29 Management of Patients with nonmalignant hematologic disorders Flashcards
Management of Patients with nonmalignant hematologic disorders
A client awaiting a bone marrow aspiration asks the nurse to explain where on the body the procedure will take place. What body part does the nurse identify for the client?
a. Posterior iliac crest
b. Sternum
c. Femur
d. Ankle
a
bone marrow is usually aspirated from the posterior iliac crest.
A thin client is prescribed iron dextran intramuscularly. What is most important action taken by the nurse when administering this medication?
a. Employs the Z–track technique
b. Uses a 23–gauge needle
c. Injects into the deltoid muscle
d.bRubs the site vigorously
a
when iron given IM, use Z-track technique to avoid local pain and staining of the skin.
the gluteus maximus muscle is used with 18-vor 20- gauge needle.
The most common cause of iron-deficiency anemia in premenopausal women includes which of the following?
a. Menorrhagia
b. Inadequate iron supplementation
c. Iron malabsorption
d. Lack of vitamin B12
a
the most common cause of iron deficiency anemia in premenopausal women is menorrhagia.
iron malabsorption occur in gastrectomy or celiac disease.
A client reports feeling tired, cold, and short of breath at times. Assessment reveals tachycardia and reduced energy. What would the nurse expect the physician to order?
a. CBC
b. antibiotic
c. chest radiograph
d. ECG
a
most clients with iron-deficiency anemia have reduced energy, feel cold all the time, and experience fatigue and dyspnea with minor physical exertion. the heart rate usually is rapid even at rest. the CBC and hemoglobin, hematocrit, and serum iron levels are decreased. A CBC would be ordered.
A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy?
a. “I will receive parenteral vitamin B12 therapy until my signs and symptoms disappear.”
b. “I will receive parenteral vitamin B12 therapy until my vitamin B12 level returns to normal.”
c. “I will receive parenteral vitamin B12 therapy monthly for 6 months to a year.”
d. “I will receive parenteral vitamin B12 therapy for the rest of my life.”
d
Because a client with pernicious anemia lacks intrinsic factor, oral vitamin B12 can’t be absorbed. Therefore, parenteral vitamin B12 therapy is recommended and required for life.
Which of the following is the most common hematologic condition affecting elderly patients
a. Anemia
b. Thrombocytopenia
c. Leukopenia
d. Bandemia
a
Anemia is the most common hematologic condition affecting elderly patients: with each successive decade of life, the incidence of anemia increases.
The nurse is collecting data for a client who has been diagnosed with iron-deficiency anemia. What subjective findings does the nurse recognize as symptoms related to this type of anemia?
a. “I feel hot all of the time.”
b. “I have a difficult time falling asleep at night.”
c. “I have an increase in my appetite.”
d. “I have difficulty breathing when walking 30 feet.”
d
Most clients with iron-deficiency anemia have reduced energy, feel cold all the time, and experience fatigue and dyspnea with minor physical exertion. The heart rate usually is rapid even at rest. The CBC and hemoglobin, hematocrit, and serum iron levels are decreased.
