Hematologic Disorders NCLEX Questions Quizlet
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Question 1 of 5.
The client, who underwent a right mastectomy with lymph node dissection, is being admitted to a nursing unit from the PACU. When settling the client in bed, which action by the NA requires the nurse to intervene?
A. Placing a blood pressure cuff on the left arm for vital signs
B. Taping a sign to the side rail stating no IV or lab draws on the right
C. Elevating the bed to 90 degrees and keeping the right arm dependent
D. Asking if the client feels ready to allow family to enter the room
Explanation: A. BPs, venipunctures, and injections should not be done on the affected arm, so taking the BP on the left arm would be appropriate. B. It would be appropriate for the NA to tape a sign at the side rail to remind others of the restrictions following a mastectomy. C. The client should be placed in a semi-Fowler's position with the arm on the affected side elevated on a pillow to promote restoring arm function and to prevent arm edema. D. It would be beneficial for the NA and nurse to be sensitive to the client's readiness for family presence.
Question 2 of 5.
The client diagnosed with leukemia has central nervous system involvement. Which instruction should the nurse teach?
A. Sleep with the HOB elevated to prevent increased intracranial pressure.
B. Take an analgesic medication for pain only when the pain becomes severe.
C. Explain radiation therapy to the head may result in permanent hair loss.
D. Discuss end-of-life decisions prior to cognitive deterioration.
Explanation: CNS leukemia risks cognitive decline; discussing end-of-life decisions (D) is critical before deterioration. HOB elevation (A) is for ICP, not routine, analgesics (B) should be proactive, and hair loss (C) is secondary.
Question 3 of 5.
The nurse writes a nursing problem of 'altered nutrition' for a client diagnosed with leukemia who has received a treatment regimen of chemotherapy and radiation. Which nursing intervention should be implemented?
A. Administer an antidiarrheal medication prior to meals.
B. Monitor the client's serum albumin levels.
C. Assess for signs and symptoms of infection.
D. Provide skin care to irradiated areas.
Explanation: Altered nutrition requires monitoring serum albumin (B) to assess protein status. Antidiarrheals (A) are symptom-specific, infection (C) is unrelated, and skin care (D) addresses radiation effects.
Question 4 of 5.
The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?
A. Night sweats and fever without 'chills.'
B. Edematous lymph nodes in the groin.
C. Malaise and complaints of an upset stomach.
D. Pain in the neck area after a fatty meal.
Explanation: Night sweats and fever (A) are classic Hodgkin's B symptoms. Edematous nodes (B) are not typical (firm, non-tender), malaise/stomach (C) is nonspecific, and neck pain (D) suggests gallbladder issues.
Question 5 of 5.
Which information about reproduction should be taught to the 27-year-old female client diagnosed with Hodgkin's disease?
A. The client's reproductive ability will be the same after treatment.
B. The client should practice birth control for at least two (2) years following therapy.
C. All clients become sterile from the therapy and should plan to adopt.
D. The therapy will temporarily interfere with the client's menstrual cycle.
Explanation: Hodgkin's therapy (chemo/radiation) often temporarily disrupts menstruation (D). Fertility may recover (A, C incorrect), and birth control (B) is advised during treatment, not 2 years post.