Signs and Symptoms
Nursing Interventions
Emergency Actions
Assessment
Diagnostics
Medications
100

The result of tissue injury caused by poor perfusion and tissue gas exchange from RBC clumping that obstructs blood flow in patients with sickle cell disease

What is Pain

100

Necessary in the patient's diet when they have a diagnosis of pernicious anemia (vitamin B-12 deficiency).

What is animal protein?

100

The patient is being treated for leukemia at which point during treatment is the patient at high risk for infection. 

What is during neutropenia

100

A reduction in the number of RBC's, the amount of hemoglobin, or the hematocrit is referred to as

What is anemia

100

White blood cell count may be elevated, but most often the cells are abnormal and premature thus not providing immunity with this blood cancer.

What is leukemia

100

There are different types of this medication used to treat blood related cancers.

What is Chemotherapy

200

General pallor, tachycardia, orthostatic hypotension, decreased oxygen saturation, breathlessness, and fatigue are all signs of this blood disorder.

What is anemia?

200

When a patient has a hemoglobin of 6.8 (normal range- men 13.5-17.5 and women 12-15.5) The necessary nursing intervention is.

What is a blood transfusion?

200

A patient is taking chemotherapeutic agents for the diagnosis of blood related cancer.  The nurse should anticipate doing this first for the patient.

What is collecting blood cultures

200

The patient and family with newly diagnosed leukemia or MDS are anxious and fearful.  The thought of this is causing the anxiety and fear.

What is death

200

A pediatric patient is brought to the clinic due to increased pallor of skin, poor eating, and increased sleepiness.  When the patient's blood is drawn for analysis what might the nurse expect to find in the results?

What are immature blood cells

200

What type of medication is most often prescribed when a patient with leukemia has developed a fever?

What is a broad-spectrum antibiotic.

300

Pallor and jaundice, glossitis (smooth, beefy red tongue), fatigue, weight loss, paresthesia's (abnormal nerve sensations) in the feet & hands, and poor balance are all signs and symptoms of this specific anemia.

What is Pernicious anemia (Vitamin B-12 deficiency) 

300

Encourage at least 3 liters of liquids each day. Avoid tight or constrictive clothing, provide anticoagulants as prescribed.  Have patient wear support hose or stockings while they are awake and up.  Elevate the feet whenever patients are sitting up. This is necessary for this health problem

What is polycythemia?

300

The patient has a platelet count of 4,000 (normal range is 150,000 to 300,000) the most significant risk for this patient is.

What is bleeding

300

The concerning problem for the patient who is reporting to the hematology department with increased shortness of breath has this health problem.

What is polycythemia

300

The diagnosis is made by X-ray finding of bone thinning with areas of bone loss that resembles Swiss cheese. Lab values show high immunoglobulin and plasma protein levels, and the presence of Bence Jones protein in the urine.

What is multiple myeloma 

300

What type of pain medication should be prescribed to patients experiencing sickle cell crisis, regardless of the previous use.

What is opioid pain medication.

400

Symptoms of all types of this condition are first seen in the skin and mucous membranes, resulting from excessive bleeding of the micro vessels in these tissues. Changes include large ecchymoses (bruises) or purpura (a reddish purple fine petechial rash) on the arms, legs, upper chest and neck.

What is thrombocytopenia?

(Low platelet count)

400

An important recommendation for nurses to provide to clients with chronic fatigue related to a leukemia diagnosis is.

What is rest periods during ADL's

400

The patient has tiny red dots over the torso and down the legs and arms caused by thrombocytopenia the term for this condition is.

What is petechiae

400

A patient reports to the ER with complaints of foot pain without injury.  Upon assessment, the patient has multiple areas of petechiae noted on the trunk.  The nurse suspects the underlying cause of the symptoms to be

What is Acute Lymphocytic Leukemia

400

The disease in question when the creatinine level is elevated to 3.0 (normal range 0.9-1.3)

What is Acute Lymphocytic Anemia

400

The drug class used to help control bleeding when it is due to a condition where the blood does not clot appropriately.

What are Antifibrolytics

500

The major assessment finding for any lymphoma is this.

What is an enlarged lymph node.

500

When administering a blood transfusion, the patient reports dyspnea, flank pain, and a feeling of impending doom, the nurse assesses the vital signs which reveals hypertension, a fever and bounding pulse.  The action the nurse must take is.

What is stop the infusion

500

The best IV fluid to administer to a patient with sickle cell anemia is.

What is 0.45% sodium chloride

500

Cells return to normal shape when the precipitating condition is removed and the blood oxygen level is normalized, which allows tissue perfusion to resume in this health condition.

What is sickle cell anemia

500

In what condition do the cells usually go back to normal shape when the precipitating condition is removed, and the blood oxygen level is normalized allowing tissue perfusion to resume.

What is Sickle Cell Anemia

500

The medication prescribed to patient with anemia related to chronic kidney disease.

What is Erythropoietin.

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