Title WORKBOOK - RESPI HEMA (SC) ✅

B. Fatigue C. Weight loss D. Shortness of breath 49. A nurse is taking the history of a client with silicosis. The nurse assesses whether the client wears which of the following items during periods of exposure to silica particles? A. Mask B. Gown C. Gloves D. Eye protection 50. An oxygen delivery system is prescribed for a client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which oxygen delivery system would the nurse anticipate to be prescribed? A. Face tent B. Venturi mask C. Aerosol mask D. Tracheostomy collar 51. The nurse is admitting a client suspected of having sickle cell anemiA. The client has a fever of 38.9°C or 102°F, faint yellow-tinged sclera, and is complaining of abdominal pain. Which of the following clinical manifestations further support this diagnosis? Select all that apply: 1. Rapid but regular breathing 2. Pale, dilute urine 3. Skin ulcers on the lower extremities 4. Swollen fingers 5. Pallor 6. Fatigue A. 1, 2, 4, 5, 6 B. 1, 3, 4, 5, 6 C. 2, 3, 5, 6 D. 3, 4, 5, 6 52. The nurse making a care plan for a client with severe thrombocytopenia should include which of the following? A. Careful examination of spinal fluid obtained by lumbar puncture B. A private room with reverse isolation precautions C. A void intramuscular administration of medications D. Careful monitoring of urinary output while titrating the dosage of furosemide (Lasix) 53. A client with lung cancer is admitted with a new diagnosis of acute disseminated intravascular coagulation (DIC). Which of the following actions is a priority? A. Obtain a diet history from the client for the last 3 days B. Assess the client for any indications of internal or external bleeding C. Take the family to the family lounge and discuss home care for a client with DIC D. Call the dialysis unit to determine when the client may be transferred 54. The nurse has instructed a client with a hematological disorder about the functions of the hematologic system. The client indicates a need for further teaching by describing the function of the hematologic system as A. “the coagulation and clotting of blooD.” B. “the exchange of oxygen and carbon dioxide at the alveoli.” C. “the transportation of oxygen and carbon dioxide to cells of the body.” D. “to fight infection.” 55. The nurse is admitting a client with severe shortness of breath. The nurse assesses which of the following clinical manifestations to be present in the client with pernicious anemia? Select all that apply: 1. Oral temperature greater than 38°C or 100.5°F 2. Dark-brown urine 3. Paresthesia 4. White and yellow patches on the tongue 5. Mental confusion 6. Muscle weakness A. 1, 3, 4, 5 B. 1, 3, 6 C. 2, 4, 5, 6 D. 3, 5, 6 56. The nurse is discharging a client with aplastic anemiA. Which of the following statements made by the client would demonstrate the need for additional teaching by the nurse? A. “I’m a little nervous about the side effects of my medicines and will call if I have questions.” B. “I have a lot of sisters and brothers. I hope one of them will match for my bone marrow transplant.” C. “I’m going back to my job in the toddler room at a day care center tomorrow.” D. “Diabetes runs in my family, so we will be checking my glucose levels while I am on the prednisone.” 57. A client with a chronic bleeding duodenal ulcer is admitted to the hospital. What clinical manifestations should the nurse assess for in a client with a 30% blood volume loss? Select all that apply: 1. Postural hypotension 2. Dizziness 3. Tachycardia with activity 4. Swelling 5. Blood pressure below normal at rest 6. Pain A. 1, 2, 3, 6 B. 4, 5, 6 C. 1, 3 D. 2, 4 58. Which of the following should the nurse include in the instructions provided to a client with sickle cell anemia? Select all that apply: 1. Administer pain medications 2. Encourage fluids 3. Treat the presence of infection 4. Avoid informing others of the condition 5. Vigorous exercise is permitted 6. Inform the client that the disorder is not hereditary A. 1, 2, 3 B. 2, 3, 4 C. 4, 5, 6 D. 3, 4, 5, 6 59. The nurse is evaluating a client with an enlarged spleen. Which of the following diagnostic tests would confirm the diagnosis? A. Urinalysis B. CAT scan of the chest C. Blood cultures D. CAT scan of the abdomen 60. The nurse has started a transfusion of packed red blood cells. The nurse should immediately stop the transfusion when which of the following occurs? A. Fever and back pain B. Dry mouth C. Hypothermia and pallor D. Heart rate of 74 beats per minute 61. The nurse is caring for a client with neutropeniA. Which of the following blood tests would indicate to the nurse the desired response to treatment? A. Increased granulocytes B. Decrease in platelet count C. Normal hemoglobin D. Liver functions above normal 62. The nurse is preparing to administer a red blood cell transfusion to a client. The client tells the nurse of being terrified of contracting HIV from the transfusion. Which of the following statements is the most appropriate by the nurse? A. “Don’t worry. I’ve given a lot of transfusions and I’ve never had a client get HIV, yet.” B. “I understand your concerns. The blood supply is not 100% safe. Why don’t you get someone in your family to donate blood for you?” C. “This blood was given by screened donors and tested for HIV. The chances of getting HIV from a blood transfusion are very small.” D. “You are much more likely to die if you don’t get this transfusion than if you do.” 63. Which of the following is essential for the nurse to assess in the health history of a client with a hematologic disorder? TOP RANK REVIEW ACADEMY, INC. Page 4 | 7