Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz. You got 30 minutes to finish the exam. Good luck!
White blood cell count 16,000/mm3
Hematocrit 33%
Platelet count 426,000/ mm3
Hemoglobin 10.9 g/dL
The new RN waits 20 minutes after obtaining the PRBCs before starting the infusion.
The new RN starts an intravenous line for the transfusion using a 22-gauge catheter.
The new RN primes the transfusion set using 5% dextrose in lactated Ringer’s solution.
The new RN tells the client that the PRBCs may cause a serious transfusion reaction.
Give morphine sulfate 4-8 mg IV every hour as needed.
Start a large-gauge IV line and infuse normal saline at 200 mL/hour.
Immunize with Pneumovax and Haemophilus influenzae vaccines.
Administer oxygen at an F102 of 100% per non-rebreather mask.
Use Hemoccult slides to obtain stool specimens.
Have the client sign a colonoscopy consent form.
Administer PEG-ES (GoLYTELY) bowel preparation.
Check for allergies to contrast dye or shellfish.
A 30-year-old client with thalassemia major who has an order for subcutaneous infusion of deferoxamine (Desferal)
A 43-year-old client with multiple myeloma who needs discharge teaching
A 52-year-old client with chronic gastrointestinal bleeding who has returned to the unit after a colonoscopy
A 65-year-old client with pernicious anemia who has just been admitted to the unit
The client with digoxin toxicity
The client with viral pneumonia
The client with shingles
The client with cellulitis
The LPN encourages the client to use the ordered PCA.
The LPN positions cold packs on the client’s knees.
The LPN places a “No Visitors” sign on the client’s door.
The LPN checks the client’s temperature every 2 hours.
“I’ve noticed that I bruise more easily since the chemotherapy started.”
“My bowel movements are soft and dark brown in color.”
“I take one aspirin every morning because of my history of angina.”
“My appetite has decreased since the chemotherapy strated.”
Transport to radiology for C-spine x-rays.
Transfuse Factor VII concentrate.
Type and cross-match for 4 units RBCs.
Infuse normal saline at 250 mL/hour.
“I have started to eat more healthy foods like green salads and fruit.”
“The doctor said that it is important to avoid becoming constipated.
“Coumadin makes me feel a little nauseated unless I take it with food.”
“I will need to have some blood testing done once or twice a week.”
There is no palpable radial or pedal pulse.
The client complains of chest pain.
The client’s oxygen saturation is 87
There is mottling of the hands and fee
“Many individuals with this diagnosis have some fears.”
“Perhaps you should ask the doctor about medication.”
“Tell me a little bit more about your fear of dying.”
“Most people with stage I Hodgkin’s disease survive.”
A 26-year-old with thalassemia major who has a short-stay admission for a blood transfusion
A 44-year-old who was admitted 3 days previously with a sickle cell crisis and has orders for a CT scan
A 50-year-old with newly diagnosed stage IV non-Hodgskin’s lymphoma who is crying and stating “I’m not ready to die.”
A 69-year-old with chemotherapy-induced neutropenia who has an elevated oral temperature
Evaluate the client’s response to normal activities of daily living.
Check the client’s blood pressure and pulse rate after ambulation.
Determine which self-care activities the client can do independently.
Assist the client in choosing a diet that will improve strength
Obtain a warm blanket for the client
Check the client’s oral temperature
Stop the medication.
Administer oxygen.
A 36-year-old client with chronic renal failure who will need a subcutaneous injection of epoetin (Procrit)
A 39-year-old client with hemophilia B who has been admitted for a blood transfusion
A 50-year-old client with newly diagnosed polycythemia vera who is scheduled for phlebotomy
A 55-year-old client with a history of stem cell transplantation who will have a bone marrow aspiration
The client complains of chronic bone pain.
The blood uric acid level is very elevated.
The 240hour urine shows Bence-Jones protein.
The client is unable to plantarflex the feet.
The client engages in unprotected sex.
The client has an oral temperature of 99.7o F
The client has abdominal pain with light palpation.
The client admits to occasional marijuana use.
Administration of methotrexate and cyclosporine to the client
Assessment of the client for signs of infection caused by GVH
Infusion of D5.45% normal saline at 125 mL/hour to the client
Education of the client about ways to prevent infection
An LPN who has floated from the same-day-surgery unit
An RN from the float pool who usually works on the surgical unit
An LPN with 2 years of experience on the oncology unit
An RN who transferred recently from the ED
The Philadelphia chromosome is present in the blood smear
Glucose is elevated as a result of prednisone therapy
There has been a 20-pound weight loss over the past year
The client’s chemotherapy has resulted in neutropenia
Serum potassium level of 7.8 mEq
Urine output less than intake by 400 mL
Inflammation and redness of oral mucos
Ecchymoses present on anterior trunk
Bleeding of the gums while brushing the teeth
Non-tender swelling in the right groin
Occasional nausea after taking the medication
Numbness and tingling of the fee
Check the skin for signs of redness or peeling.
Apply alcohol-free lotion to the area after cleaning.
Explain good skin care to the client and family.
Clean the skin over daily with a mild soap.
A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit
A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge
A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of
A 60-year-old with non-Hodgkin’s lymphoma who is refusing the ordered chemotherapy regime
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