4 petechiae are small pinpoint blood spots on the

This preview shows page 80 - 82 out of 100 pages.

4.Petechiae are small pinpoint blood spotson the skin, but they are not signs/symptoms of a vaso-occlusive crisis.TEST-TAKING HINT:Understanding medicalterminology of assessment data is animportant part of being able to answerNCLEX-RN questions. These terms canhelp eliminate or select an answer option.Content– Medical:Category of Health AlterationHematology:Integrated Nursing ProcessAssessment:Client Needs– Physiological Integrity,Reduction of Risk Potential:Cognitive LevelAnalysis.72.1.A spinal tap is a test used to diagnosemeningitis.2.Hemoglobin electrophoresis is a test usedto help diagnose sickle cell anemia; it isthe “fingerprinting” of the protein, whichdetects homozygous and heterozygousforms 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 withresults in three (3) minutes.4.The elevated temperature is the firstsign of bacteremia. Bacteremia leads toa sickle cell crisis. Therefore, the bac-teria must be identified so the appro-priate antibiotics can be prescribed totreat the infection. Blood culturesassist in determining the type andsource of infection so that it can betreated appropriately.TEST-TAKING HINT:The client’s tempera-ture in the stem is the key to selectingblood cultures as the correct answer.Content– Medical:Category of Health AlterationHematology:Integrated Nursing Process– Planning:Client Needs– Physiological Integrity, Reduction ofRisk Potential:Cognitive Level– Synthesis.CHAPTER5HEMATOLOGICALDISORDERS179Copyright © 2011. F.A. Davis Company. All rights reserved. May not be reproduced in any form without permission from the publisher, except fair uses permitted under U.S. or applicablecopyright law.EBSCO Publishing : eBook Collection (EBSCOhost) - printed on 2/21/2017 9:53 AM via JERSEY COLLEGE
180MED-SURGSUCCESSHEMATOLOGICAL DISORDERS COMPREHENSIVEEXAMINATION1.The client is diagnosed with severe iron-deficiency anemia. Which statement is thescientific 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 (×106)/mm3, WBCs 8.9 (×103)/mm3, andplatelets 189 (×103)/mm3. 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 withdyspnea, cool pale skin, and diaphoresis. Which assessment data warrant immediateintervention?

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 100 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Fall
Professor
NoProfessor
Tags
F A Davis Company, Kathryn Cadenhead

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture