ATI Care of Patients
with Hematologic Problems, Questions and Answers with Explanations, 100%
Correct, Download to Score A
Test Bank
MULTIPLE CHOICE
1. The registered nurse is assigning a practical nurse to
care for a client who has leukemia. Which instruction does the registered nurse
provide to the practical nurse when delegating this client’s care?
a. Evaluate
the amount of protein the client eats.
b. Assess
the client’s roommate for symptoms of infection.
c. Perform
effective hand hygiene frequently.
d. Wear a
mask when entering the room.
ANS: C
A major objective in caring for the client with leukemia is
protection from infection. Frequent handwashing is of the utmost importance. If
at all possible, the client should be in a private room. Masks are worn by
anyone who has an upper respiratory tract infection. The client may be on a
“minimal bacteria diet.” Protein is not a factor in this diet.
DIF: Cognitive Level: Application/Applying or higher REF:
N/A
TOP: Client Needs Category: Safe and Effective Care
Environment (Safety and Infection Control—Standard
Precautions/Transmission-Based Precautions/Surgical Asepsis)
MSC: Integrated Process: Communication and Documentation
2. The nurse is teaching a client who has sickle cell
disease and was admitted for splenomegaly and abdominal pain. Which instruction
does the nurse include in the client’s discharge teaching?
a. “Avoid
drinking large amounts of fluids.”
b. “Eat six
small meals daily instead of large meals.”
c. “Engage
in aerobic exercise 3 days a week.”
d. “Receive
a yearly influenza vaccination.”
ANS: D
Abdominal pain and a palpable spleen could indicate blood
trapping in the spleen. Over time, the spleen may become nonfunctional, which
makes the client at risk for infection. An annual influenza vaccination helps
prevent infection. A client with sickle cell disease should not become
dehydrated or engage in strenuous physical activity because this could
precipitate a crisis. Eating smaller meals has no impact on sickle cell disease
or infection.
DIF: Cognitive Level: Application/Applying or higher REF:
N/A
TOP: Client Needs Category: Health Promotion and Maintenance
(Health Promotion/Disease Prevention) MSC: Integrated Process:
Teaching/Learning
3. The nurse is planning discharge teaching for a client who
has acute myelogenous leukemia (AML). Which instruction does the nurse include
in this client’s discharge plan?
a. Avoid
contact sports.
b. Refrain
from intercourse.
c. Apply
heat to any bruised areas.
d. Use
aspirin for headaches.
ANS: A
Clients with AML have a low platelet count and are at risk
for bleeding. Contact sports can cause bleeding and should be avoided by those
with a low platelet count. Anal intercourse should be avoided, but it is not
necessary to refrain from all types of intercourse. Ice should be placed on
bruised areas instead of heat, and aspirin should not be used by those with a
low platelet count.
DIF: Cognitive Level: Application/Applying or higher REF:
N/A
TOP: Client Needs Category: Health Promotion and Maintenance
(Self-Care)
MSC: Integrated Process: Teaching/Learning
4. The nurse is caring for a client who has autoimmune
thrombocytopenic purpura. Which intervention does the nurse implement for this
client?
a. Avoid
intramuscular injections.
b. Administer
prescribed anticoagulants.
c. Infuse
intravenous normal saline.
d. Monitor
for an increase in temperature.
ANS: A
With autoimmune thrombocytopenic purpura, the total number
of circulating platelets is greatly reduced. As a result of the decreased
platelet count, the client is at great risk for bleeding, and intramuscular
injections should be avoided. Anticoagulants should not be given. A low
platelet count is not treated with saline, and thrombocytopenia will not cause
a change in body temperature.
DIF: Cognitive Level: Application/Applying or higher REF:
N/A
TOP: Client Needs Category: Physiological Integrity
(Reduction of Risk Potential—Potential for Complications from Surgical
Procedures and Health Alterations)
MSC: Integrated Process: Nursing Process (Implementation)
5. The nurse is teaching a client who is being discharged
after stem cell transplantation. Which instruction does the nurse include in
this client’s discharge teaching?
a. Eat a
diet high in fruits and vegetables.
b. Ask your
provider to administer a rubella vaccination.
c. Wash
your hands frequently.
d. Participate
in physical therapy every day.
ANS: C
Protecting the client from infection at home is just as
important as it was during hospitalization for a client who has had stem cell
transplantation. Hand hygiene is the best protection against infection. Salads,
raw fruits, and live vaccinations (such as rubella) are contraindicated in a
client who has a risk for infection. Energy management is important; therefore
activities such as physical therapy may need to be postponed.
DIF: Cognitive Level: Application/Applying or higher REF:
N/A
TOP: Client Needs Category: Health Promotion and Maintenance
(Health Promotion/Disease Prevention) MSC: Integrated Process:
Teaching/Learning
6. The nurse prepares to administer a blood transfusion to a
client. Which means of identification does the nurse use to ensure that the
blood is administered to the correct client?
a. Ask the
client whether his or her name is the one on the blood product tag.
b. Ask the
client’s spouse if the client is supposed to have a transfusion.
c. Compare
the name and ID number on the blood product tag with the name and ID number on
the client’s ID band.
d. Compare
the unit and room number
Category | ATI |
Release date | 2021-09-14 |
Pages | 14 |
Language | English |
Comments | 0 |
Sales | 0 |
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