You are on page 1of 15

9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

Week 5 QUIZ 7: HEMATOLOGIC DISORDERS


Due
Sep 23 at 12:30pm
Points
30
Questions
30
Available
Sep 23 at 12pm - Sep 23 at 12:30pm
30 minutes
Time Limit
30 Minutes

Instructions

This quiz was locked Sep 23 at 12:30pm.

Attempt History
Attempt Time Score
LATEST Attempt 1
21 minutes 18 out of 30

Score for this quiz:


18 out of 30
Submitted Sep 23 at 12:21pm
This attempt took 21 minutes.

Question 1 1
/ 1 pts

Which of the following blood components is decreased in anemia?

 
Leukocytes

https://olfu.instructure.com/courses/146389/quizzes/2114544 1/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Platelets

Correct!  
Erythrocytes

 
Granulocytes

Question 2 0
/ 1 pts

Which of the following symptoms is expected with hemoglobin of 10


g/dl?

ou Answered  
Palpitations

 
Pallor

orrect Answer  
None

 
Shortness of breath

Question 3 1
/ 1 pts

Which of the following diagnostic findings are most likely for a client
with aplastic anemia?

 
Decreased production of T-helper cells

Correct!  
Decreased levels of white blood cells, red blood cells, and platelets

 
Reed-Sternberg cells and lymphnode enlargement

 
Increased levels of WBCs, RBCs, and platelets

https://olfu.instructure.com/courses/146389/quizzes/2114544 2/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

Question 4 1
/ 1 pts

The nurse (https://nurseslabs.com/registered-nurse/)  is preparing to


teach a client with microcytic hypochromic anemia about the diet to
follow after discharge. Which of the following foods should be
included in the diet? 

 
Lettuce

Correct!  
Eggs

 
Citrus fruits

 
Cheese

Question 5 1
/ 1 pts

The nurse would instruct the client to eat which of the following
foods to obtain the best supply of vitamin B12?

 
Green leafy vegetables

Correct!  
Meats and dairy products

 
Whole grains

 
Broccoli and Brussels sprouts

Question 6 1
/ 1 pts

https://olfu.instructure.com/courses/146389/quizzes/2114544 3/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

The nurse understands that the client with pernicious anemia will
have which distinguishing laboratory findings?

Correct!  
Intrinsic factor, absent.

 
RBCs 5.0 million

 
Schilling’s test elevated

 
Sedimentation rate, 16 mm/hour

Question 7 1
/ 1 pts

The nurse devises a teaching plan for the patient with aplastic
anemia. Which of the following is the most important concept to
teach for health maintenance?

 
Get 8 hours of sleepat night and take naps during the day

 
Practice yoga and meditation to decrease stress and anxiety

 
Eat animal protein and dark leafy vegetables each day

Correct!  
Avoid exposure to others with acute infection

Question 8 1
/ 1 pts

A client comes into the health clinic 3 years after undergoing a


resection of the terminal ileum complaining of weakness, shortness
of breath, and a sore tongue. Which client statement indicates a
need for intervention and client teaching?

https://olfu.instructure.com/courses/146389/quizzes/2114544 4/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
“I have been gargling with warm salt water for my sore tongue.”

 
“I have been drinking plenty of fluids.”

Correct!  
“I take a vitamin B12 tablet every day.”

 
“I have 3 to 4 loose stools per day.”

Question 9 1
/ 1 pts

The primary purpose of the Schilling test is to measure the client’s


ability to:

Correct!  
Absorb vitamin B12

 
Produce vitamin B12

 
Digest vitamin B12

 
Store vitamin B12

Question 10 1
/ 1 pts

The nurse implements which of the following for the client who is
starting a Schilling test?

 
Starting a 72 hour stoolspecimen collection

Correct!  
Starting a 24- to 48 hour urine specimen collection

 
Maintaining NPO status

https://olfu.instructure.com/courses/146389/quizzes/2114544 5/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Administering methylcellulose (Citrucel)

Question 11 1
/ 1 pts

A client with pernicious anemia asks why she must take vitamin
B12 injections for the rest of her life. What is the nurse’s best
response?

 
“The reason for your vitamin deficiency is an excessive excretion of the
vitamin because of kidney dysfunction.”

 
“The reason for your vitamin deficiency is an inability to absorb the vitamin
because the stomachis not producing sufficient acid.”

 
“The reason for your vitamin deficiency is an increased requirement for the
vitamin because of rapid red blood cell production.”

Correct!  
“The reason for your vitamin deficiency is an inability to absorb the vitamin
because the stomach is not producing sufficient intrinsic factor.”

Question 12 1
/ 1 pts

When a client is diagnosed with aplastic anemia, the nurse monitors


for changes in which of the following physiological functions?

 
Intake and output

https://olfu.instructure.com/courses/146389/quizzes/2114544 6/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Bowel function

Correct!  
Bleeding tendencies

 
Peripheral sensation

Question 13 1
/ 1 pts

A client with iron deficiency anemia is scheduled for discharge.


Which instruction about prescribed ferrous gluconate therapy
should the nurse include in the teaching plan?

 
“Take the medication with a glass of milk.”

 
“Take the medication with cereal.”

 
“Take the medicationwith an antacid.”

Correct!  
“Take the medication on an empty stomach.”

Question 14 0
/ 1 pts

A client has driven himself to the ER. He is 50 years old, has a


history of hypertension, and informs the nurse that his father died of
a heart attack at 60 years of age. The client is presently complaining
of indigestion. The nurse connects him to an ECG monitor and
begins administering oxygen at 2 L/minute per NC. The nurse’s next
action would be to:

ou Answered  
Call for the doctor

https://olfu.instructure.com/courses/146389/quizzes/2114544 7/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Obtain a portable chest radiograph

orrect Answer  
Start an intravenous line

 
Draw blood for laboratory studies

Question 15 0
/ 1 pts

The most important long-term goal for a client with hypertension


would be to:

 
Learn how to avoid stress

ou Answered  
Control high blood pressure

 
Explore a job change or early retirement

orrect Answer  
Make a commitment to long-term therapy

Question 16 1
/ 1 pts

Hypertension is known as the silent killer. This phrase is associated


with the fact that hypertension often goes undetected until
symptoms of other system failures occur. This may occur in the
form of:

 
Liver disease

 
Pulmonary disease

Correct!  
Cerebrovascular accident

https://olfu.instructure.com/courses/146389/quizzes/2114544 8/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Myocardial infarction

Question 17 0
/ 1 pts

Which of the following factors can cause blood pressure to drop to


normal levels?

 
Kidneys’ retention of sodium and water

 
Kidneys’ retention of sodium and excretion of water

ou Answered  
Kidneys’ excretion of sodium only

orrect Answer  
Kidneys’ excretion of sodium and water

Question 18 0
/ 1 pts

When teaching a patient about risk factors for AAA, which of the following,
if stated by the patient indicates correct understanding?

orrect Answer  
Genetic disorder

 
Straining while pooping

ou Answered  
Taking ACE inhibitors or ARBS

 
Being female

https://olfu.instructure.com/courses/146389/quizzes/2114544 9/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

Question 19 1
/ 1 pts

What would be the treatment option of choice for an AAA that is 6 cm?

 
Crestor

 
Thrombolytic Agent

 
Blood pressure medication

Correct!  
Surgery

Question 20 1
/ 1 pts

Nurse Hannah is administering a steroid to a child diagnosed with


idiopathic thrombocytopenic purpura (ITP); which of the following
should the nurse monitor?

Correct!  
Infection

 
Bruising

 
Bleeding

 
Anemia

Question 21 1
/ 1 pts

Mr. and Mrs. Robertson’s son was diagnosed with idiopathic


thrombocytopenic purpura. They should be aware that the drug to
be avoided is:

https://olfu.instructure.com/courses/146389/quizzes/2114544 10/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Codeine

 
Morphine

Correct!  
Aspirin

 
Acetaminophen

Question 22 0
/ 1 pts

With peripheral arterial insufficiency, leg pain


(https://nurseslabs.com/acute-pain/)  during rest can be reduced by:

ou Answered  
Elevating the limb above heart level

 
Placing the limb in a plane horizontal to the body

orrect Answer  
Lowering the limb so it is dependent

 
Massaging the limb after application of cold compresses

Question 23 0
/ 1 pts

Buerger’s disease is characterized by all of the following except:

 
Arterial thrombosisformation and occlusion

 
Venous inflammation and occlusion

orrect Answer  
Lipid deposits in the arteries

https://olfu.instructure.com/courses/146389/quizzes/2114544 11/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

ou Answered  
Redness or cyanosis in the limb when it is dependent

Question 24 0
/ 1 pts

A significant cause of venous thrombosis is:

ou Answered  
Vessel wall injury

orrect Answer  
All of the above

 
Stasis of blood

 
Altered blood coagulation

Question 25 1
/ 1 pts

Mike, a 43-year old construction worker, has a history of hypertension. He


smokes two packs of cigarettes a day, is nervous about the possibility of
being unemployed, and has difficulty coping with stress. His current
concern is calf pain during minimal exercise that decreased with rest. The
nurse assesses Mike’s symptoms as being associated with peripheral
arterial occlusive disease. The nursing diagnosis is probably:

 
Impairment in muscle use associated with pain on exertion.

Correct!  
Alteration in tissue perfusion related to compromised circulation

 
Dysfunctional use of extremities related to muscle spasms

 
Impaired mobility related to stress associated with pain

https://olfu.instructure.com/courses/146389/quizzes/2114544 12/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

Question 26 0
/ 1 pts

A 24-year old man seeks medical attention for complaints of


claudication in the arch of the foot. A nurse also notes
superficial thrombophlebitis (https://nurseslabs.com/5-deep-vein-
thrombosis-nursing-care-plans/) of the lower leg. The nurse would next
assess the client for:

orrect Answer  
Smoking history

ou Answered  
Familial tendency toward peripheral vascular disease

 
History of insect bites

 
Recent exposures to allergens

Question 27 0
/ 1 pts

In preparation for the discharge of a client with arterial insufficiency


and Raynaud’s disease, client teaching instructions should include:

 
Using hydrotherapy for increasing oxygenation

 
Wearing TED hose during the day

ou Answered  
Walking several times each day as an exercise program.

orrect Answer  
Keeping the heat up so that the environment is warm

Question 28 0
/ 1 pts

https://olfu.instructure.com/courses/146389/quizzes/2114544 13/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

Which technique is considered the gold standard for diagnosing


DVT?

 
MRI

ou Answered  
Ultrasound imaging

 
Doppler flow study

orrect Answer  
Venography

Question 29 1
/ 1 pts

A nurse is assessing a client with an abdominal aortic aneurysm


(https://nurseslabs.com/aortic-aneurysm-nursing-care-plan/) . Which of the
following assessment findings by the nurse is probably unrelated to
an aneurysm?

 
Subjective sensation of “heart beating” in the abdomen.

 
Systolic bruit over the area of the mass

 
Pulsatile abdominal mass

Correct!  
Hyperactive bowel sounds in that area

Question 30 0
/ 1 pts

A client comes to the outpatient clinic and tells the nurse that he has
had legs pains that began when he walks but cease when he stops
walking. Which of the following conditions would the nurse assess
for?
https://olfu.instructure.com/courses/146389/quizzes/2114544 14/15
9/25/22, 6:07 PM Week 5 QUIZ 7: HEMATOLOGIC DISORDERS: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTRO…

 
Calcium deficiency

ou Answered  
An acute obstruction in the vessels of the legs

orrect Answer  
Peripheral vascular problems in both legs

 
Diabetes

Quiz Score:
18 out of 30

https://olfu.instructure.com/courses/146389/quizzes/2114544 15/15

You might also like