Chapter 31 Nursing Management Hematologic Problems
Chapter 31: Nursing Management: Hematologic Problems
Test Bank
MULTIPLE CHOICE
1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional
palpitations at rest. The nurse would expect the patient’s laboratory findings to include
a. a hematocrit (Hct) of 38%.
b. an RBC count of 4,500,000/µL.
c. normal red blood cell (RBC) indices.
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
ANS: D
The patient’s clinical manifestations indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of normal.
DIF: Cognitive Level: Understand (comprehension)
REF: 633
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which menu choice indicates that the patient understands the nurse’s teaching about best
dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
ANS: A
Eggs and whole grain breads are high in iron. The other choices are appropriate for other nutritional deficiencies but are not the best choice for a patient with iron-deficiency anemia.
DIF: Cognitive Level: Apply (application)
REF:
637
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
3. A patient who is receiving methotrexate for severe rheumatoid arthritis develops a
megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
ANS: B
Methotrexate use can lead to folic acid deficiency. Supplementation with oral folic acid supplements is the usual treatment. The other nutrients would not correct folic acid deficiency, although they would be used to treat other types of anemia.
DIF: Cognitive Level: Apply (application)
REF:
640
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
4. A 52-year-old patient has a new diagnosis of pernicious
Test Bank
MULTIPLE CHOICE
1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional
palpitations at rest. The nurse would expect the patient’s laboratory findings to include
a. a hematocrit (Hct) of 38%.
b. an RBC count of 4,500,000/µL.
c. normal red blood cell (RBC) indices.
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
ANS: D
The patient’s clinical manifestations indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of normal.
DIF: Cognitive Level: Understand (comprehension)
REF: 633
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which menu choice indicates that the patient understands the nurse’s teaching about best
dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
ANS: A
Eggs and whole grain breads are high in iron. The other choices are appropriate for other nutritional deficiencies but are not the best choice for a patient with iron-deficiency anemia.
DIF: Cognitive Level: Apply (application)
REF:
637
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
3. A patient who is receiving methotrexate for severe rheumatoid arthritis develops a
megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
ANS: B
Methotrexate use can lead to folic acid deficiency. Supplementation with oral folic acid supplements is the usual treatment. The other nutrients would not correct folic acid deficiency, although they would be used to treat other types of anemia.
DIF: Cognitive Level: Apply (application)
REF:
640
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
4. A 52-year-old patient has a new diagnosis of pernicious