#1
Which laboratory test is commonly used to assess clotting function?
Activated Partial Thromboplastin Time (aPTT)
ExplanationAssesses clotting function by measuring the time it takes for blood to clot.
#2
What is the primary nursing consideration for a patient receiving a blood transfusion?
Verifying blood type compatibility
ExplanationPrevents adverse reactions such as hemolytic transfusion reactions.
#3
Which nursing intervention is important for a patient with hemochromatosis?
Limiting dietary iron intake
ExplanationPrevents further accumulation of iron in the body, reducing risk of organ damage.
#4
What is a potential complication of disseminated intravascular coagulation (DIC)?
Hypotension
ExplanationResulting from widespread clot formation and consumption of clotting factors.
#5
Which symptom is characteristic of anemia?
Shortness of breath
ExplanationResult of tissue hypoxia due to decreased oxygen-carrying capacity of blood.
#6
What is a potential nursing intervention for a patient with thrombocytopenia?
Use a soft toothbrush and avoid invasive procedures
ExplanationMinimizes risk of bleeding by preventing trauma to the gums and mucous membranes.
#7
Which term refers to an abnormal increase in red blood cells?
Polycythemia
ExplanationCharacterized by an excess of red blood cells, leading to increased blood viscosity.
#8
Which hematologic disorder is characterized by a deficiency of clotting factors and can lead to spontaneous bleeding?
Hemophilia
ExplanationResults in impaired blood clotting, increasing the risk of spontaneous bleeding and hemorrhage.
#9
What is a potential complication for a patient with aplastic anemia?
Infection
ExplanationDue to decreased production of all types of blood cells, leading to immunosuppression.
#10
In a patient with leukemia, which assessment finding indicates a potential complication of the disease?
Increased white blood cell count
ExplanationMay lead to leukostasis, thrombosis, or leukemic infiltration of organs.
#11
What is a priority assessment for a patient with sickle cell anemia experiencing a vaso-occlusive crisis?
Joint mobility and pain level
ExplanationAssesses the severity and impact of the crisis, guiding pain management and mobility interventions.
#12
Which medication is commonly used to stimulate red blood cell production in patients with anemia?
Erythropoietin
ExplanationStimulates bone marrow to produce more red blood cells, addressing anemia.
#13
Which assessment finding is indicative of a potential bleeding complication in a patient with a hematologic disorder?
Petechiae and ecchymosis
ExplanationSigns of small hemorrhages under the skin, indicating impaired clotting function.
#14
What nursing action is essential during the administration of iron supplements to a patient with iron-deficiency anemia?
Giving on an empty stomach
ExplanationEnhances iron absorption, maximizing therapeutic effect.
#15
What education should be provided to a patient with hemolytic anemia?
Monitoring for jaundice and dark urine
ExplanationIndicates hemolysis, aiding in timely intervention.