Hematologic Disorders NCLEX Questions Quizlet
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Question 1 of 5.
The nurse working in the bloodmobile is screening clients to determine if they qualify for blood donation of whole blood. Besides asking for identification and age, which questions should the nurse ask during the screening interview?
A. “If you have a tattoo, on what date did you receive the tattoo?â€
B. “Have you had any close contact with anyone with HIV or hepatitis?â€
C. “If you smoke, when was the last time you smoked tobacco products?â€
D. “When were you last immunized for rubella, mumps, or varicella?â€
E. “Did you receive blood products anywhere outside of the United States?â€
Explanation: Persons ineligible to donate blood include those with a history of a recent tattoo. B. Persons ineligible to donate blood include those who've had close contact with a person with HIV or hepatitis. C. Persons who smoke tobacco products may donate blood unless they have a recent history of asthma. D. Persons ineligible to donate blood include those immunized for rubella, mumps, or varicella within the last month. E. Persons ineligible to donate blood include those receiving transfusions in the United Kingdom, Gibraltar, or the Falkland Islands because of the increased likelihood of transmitting Creutzfeldt-Jakob disease.
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.