Hematologic Disorders NCLEX Questions Quizlet
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Question 1 of 5.
Which concepts could the nurse identify for a client diagnosed with lymphoma? Select all that apply.
A. Coping.
B. Hematologic regulation.
C. Tissue perfusion.
D. Clotting.
E. Clinical judgment.
Explanation: Lymphoma involves coping (A) with diagnosis, hematologic regulation (B) via lymph dysfunction, perfusion (C) due to node obstruction, and clotting (D) from thrombocytopenia. Clinical judgment (E) is a nursing process, not a patient concept.
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.
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