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Ati lpn med surg haematology
Total Questions : 36
Showing 10 questions, Sign in for moreA nurse is reinforcing teaching with a client has a new diagnosis of aplastic anemia. When discussing the pathology of this disease, which of the following instructions should the nurse include in the teaching?
The nurse is caring for a patient with a platelet count of <20,000/mm3 (150,000-400000). Which of the following precautions should the nurse take in providing care for this patient?
A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Flowrate= Total volume ml×Drop factor÷Time
​= (1000 × 10) ÷ 360
= 27.78
≈ 28 gtt/min
A nurse is collecting data on a client who is to receive a blood transfusion. Which of the following data is the nurse's priority before the transfusion begins?
A nurse is reinforcing teaching with a client who is to have a bone marrow aspiration and biopsy. The nurse should tell the client that, in addition to the iliac crest, a common site for this procedure is which of the following?
A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?
A nurse is planning care for a client who is to receive one unit of packed RBCs. Within which of the following time spans must the nurse complete the infusion?
A nurse is reviewing data for a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
0930:
Child is awake and alert, but not talkative. Child developed a fever last evening and has manifestations of an upper respiratory infection. Guardians brought child to the oncology outpatient clinic today. Guardians report child received their last dose of chemotherapy 3 weeks ago and child's sibling has a mild upper respiratory infection.
1000:
Breath sounds are equal with bilateral rhonchi in upper lobes. Mild subcostal retractions are noted. Large amount of clear nasal drainage is noted. Child's skin is pale, small bruises are noted on trunk and thighs. Child states, "I feel like I can't breathe." Bed raised to high-Fowler's, oxygen applied, and provider notified.
0900:
Temperature 38° C (100° F)
Heart rate 90/min
Respiratory rate 22/min
Blood pressure 106/70 mm Hg
Oxygen saturation 97% on room air
1000:
Temperature 38.5° C (101.3° F)
Heart rate 108/min
Respiratory rate 30/min
Blood pressure 102/72 mm Hg
Oxygen saturation 90% on room air
1000:
WBC count 5,000/mm3 (5.000 to 10,000/mm3)
RBC count 3.6 (4.0 to 5.5)
Hgb 10 g/dL (10 to 15.5 g/dL)
Hct 32% (32% to 44%)
A pediatric nurse is assisting with the care of a school-age child who has leukemia.
The nurse is caring for a patient who must undergo a splenectomy for treatment for idiopathic thrombocytopenic purpura (ITP). Which of the following statements best describes the rationale for the splenectomy?
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