4 petechiae are small pinpoint blood spots on the

4. Petechiae are small pinpoint blood spots
on the skin, but they are not signs/
symptoms of a vaso-occlusive crisis.
TEST-TAKING HINT:
Understanding medical
terminology of assessment data is an
important part of being able to answer
NCLEX-RN questions. These terms can
help eliminate or select an answer option.
Content – Medical: Category of Health Alteration –
Hematology: Integrated Nursing Process –
Assessment: Client Needs – Physiological Integrity,
Reduction of Risk Potential: Cognitive Level –
Analysis.
72. 1. A spinal tap is a test used to diagnose
meningitis.
2. Hemoglobin electrophoresis is a test used
to help diagnose sickle cell anemia; it is
the “fingerprinting” of the protein, which
detects homozygous and heterozygous
forms of the disease.
3. The Sickledex test is a screening test com-
monly used to screen for sickle cell ane-
mia. It is performed by a finger stick with
results in three (3) minutes.
4. The elevated temperature is the first
sign of bacteremia. Bacteremia leads to
a sickle cell crisis. Therefore, the bac-
teria must be identified so the appro-
priate antibiotics can be prescribed to
treat the infection. Blood cultures
assist in determining the type and
source of infection so that it can be
treated appropriately.
TEST-TAKING HINT:
The client’s tempera-
ture in the stem is the key to selecting
blood cultures as the correct answer.
Content – Medical: Category of Health Alteration –
Hematology: Integrated Nursing Process – Planning:
Client Needs – Physiological Integrity, Reduction of
Risk Potential: Cognitive Level – Synthesis.
C
HAPTER
5 H
EMATOLOGICAL
D
ISORDERS
179
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180
M
ED
-S
URG
S
UCCESS
HEMATOLOGICAL DISORDERS COMPREHENSIVE
EXAMINATION
1. The client is diagnosed with severe iron-deficiency anemia. Which statement is the
scientific rationale regarding oral replacement therapy ?
1. Iron supplements are well tolerated without side effects.
2. There is no benefit from oral preparations; the best route is IV.
3. Oral iron preparations cause diarrhea if not taken with food.
4. Very little of the iron supplement will be absorbed by the body.
2. The client’s laboratory values are RBCs 5.5 ( × 10
6
)/mm 3 , WBCs 8.9 ( × 10
3
)/mm 3 , and
platelets 189 ( × 10
3
)/mm
3
. Which intervention should the nurse implement ?
1. Prepare to administer packed red blood cells.
2. Continue to monitor the client.
3. Request an order for Neupogen, a biologic response modifier.
4. Institute bleeding precautions.
3. The client diagnosed with anemia is admitted to the emergency department with
dyspnea, cool pale skin, and diaphoresis. Which assessment data warrant immediate
intervention ?