Hematologic and Immune System Disorders

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Nursing condsiderations

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Audrey Miller

United States

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Hematologic and Immune System Disorders


Froggy Jumps Hematologic and Immune System DisordersOnline version Nursing condsiderations by Audrey Miller 1 A patient presents with BP 212/118 mm Hg and confusion. This finding is most concerning for which complication? a Hypertensive emergency b White coat syndrome c Hypertensive urgency 2 Which medication would the nurse anticipate administering for a hypertensive emergency? a IV nitroprusside b Oral hydrochlorothiazide c Oral lisinopril 3 The priority nursing goal during treatment of hypertensive crisis is to: a Lower BP gradually b Normalize BP immediately c Prevent reflex bradycardia 4 A patient with leukemia is at greatest risk for infection due to: a Neutropenia b Leukocytosis c Thrombocytopenia 5 Which complication is the leading cause of death in acute leukemia? a Infection b Liver failure c Stroke 6 A platelet count of 8,000/mm³ places a leukemia patient at risk for: a Spontaneous hemorrhage b Bruising c Thrombosis 7 Polycythemia vera increases the risk of which complication? a Thrombosis b Infection c Bleeding 8 Which symptom is commonly associated with polycythemia vera? a Pruritus after warm baths b Petechiae c Night Sweats 9 Therapeutic phlebotomy is used in polycythemia vera to: a Decrease blood viscosity b Improve oxygen saturation c Lower platelet production 10 Myelodysplastic syndrome is best described as: a Bone marrow failure with ineffective hematopoiesis b Autoimmune destruction of RBCs c Excessive production of mature blood cells 11 A patient with MDS is at highest risk for: a Infection and bleeding b Fluid overload c Hypercoagulation 12 Which laboratory finding is expected in MDS? a Pancytopenia b High platelet count c Elevated WBC count 13 ITP results from: a Platelet destruction by the immune system b Platelet sequestration in the liver c Bone marrow suppression 14 Which assessment finding is most concerning in a patient with ITP? a Hematuria b Petechiae c Mild Bruising 15 Which medication is commonly used to treat ITP? a Corticosteriods b Heparin c Platelets 16 Hereditary hemochromatosis leads to excessive absorption of: a Iron b Calcium c Copper 17 Untreated hemochromatosis can result in which complication? a Heart failure b Hypoglycemia c COPD 18 Patient teaching for hemochromatosis should include avoiding: a Alcohol and iron supplements b High Protein Foods c Dairy Products 19 A neutrophil count of 400/mm³ places the patient at risk for: a Severe infection b Thrombosis c Anemia 20 Which nursing intervention is priority for neutropenic patients? a Strict hand hygiene b Encourage raw fruits and vegetables c Use rectal thermometers 21 A platelet count below which level increases risk for spontaneous bleeding? a 5,000 b 50,000 c 100,000 22 Which nursing action is appropriate for thrombocytopenia? a Avoid aspirin b Encourage contact sports c Perform rectal exams 23 Which assessment finding suggests internal bleeding? a Hematochezia b Ecchymosis c Petechiae 24 HIV primarily targets which cells? a CD4+ T cells b Neutrophils c B lymphocytes 25 AIDS is diagnosed when the CD4 count falls below: a 200 cells/mm³ b 800 cells/mm³ c 500 cells/mm³ 26 Which infection is an AIDS-defining condition? a Pneumocystis jirovecii pneumonia b Oral candidiasis c Sinusitis 27 The priority teaching for patients on antiretroviral therapy (ART) is: a Take medications consistently b Stop therapy when viral load is undetectable c Avoid vaccinations 28 Which lab value best reflects effectiveness of ART? a Viral load b Total WBC c Hemoglobin 29 Which finding suggests progression from HIV to AIDS? a Opportunistic infections b Increased CD4 count c Weight gain

Hematologic and Immune System Disorders

Froggy Jumps

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Hematologic and Immune System DisordersOnline version

by Audrey Miller

A patient presents with BP 212/118 mm Hg and confusion. This finding is most concerning for which complication?

Which medication would the nurse anticipate administering for a hypertensive emergency?

The priority nursing goal during treatment of hypertensive crisis is to:

A patient with leukemia is at greatest risk for infection due to:

Which complication is the leading cause of death in acute leukemia?

A platelet count of 8,000/mm³ places a leukemia patient at risk for:

Polycythemia vera increases the risk of which complication?

Which symptom is commonly associated with polycythemia vera?

Therapeutic phlebotomy is used in polycythemia vera to:

Myelodysplastic syndrome is best described as:

A patient with MDS is at highest risk for:

Which laboratory finding is expected in MDS?

ITP results from:

Which assessment finding is most concerning in a patient with ITP?

Which medication is commonly used to treat ITP?

Hereditary hemochromatosis leads to excessive absorption of:

Untreated hemochromatosis can result in which complication?

Patient teaching for hemochromatosis should include avoiding:

A neutrophil count of 400/mm³ places the patient at risk for:

Which nursing intervention is priority for neutropenic patients?

A platelet count below which level increases risk for spontaneous bleeding?

Which nursing action is appropriate for thrombocytopenia?

Which assessment finding suggests internal bleeding?

HIV primarily targets which cells?

AIDS is diagnosed when the CD4 count falls below:

Which infection is an AIDS-defining condition?

The priority teaching for patients on antiretroviral therapy (ART) is:

Which lab value best reflects effectiveness of ART?

Which finding suggests progression from HIV to AIDS?