Bleeding Disorders
A patient has petechiae, bleeding gums, bruising, a platelet count of 32,000/µL, and normal PT and aPTT. Which disorder pattern is most likely?
What is thrombocytopenia?
This acute leukemia is commonly associated with lymphoblasts and is frequently diagnosed in children.
This acute leukemia is commonly associated with lymphoblasts and is frequently diagnosed in children.
What is a lumbar puncture?
What is 0.9% normal saline?
A teenager has polyuria, polydipsia, polyphagia, weight loss, and a random glucose of 320 mg/dL. Which type of diabetes is most likely?
What is Type 1 diabetes?
A patient reports that rings and shoes no longer fit. Assessment reveals coarse facial features, joint discomfort, and rising blood glucose levels.
What is acromegaly?
A child develops a painful, warm, swollen knee after minor trauma. The platelet count and PT are normal, but the aPTT is prolonged. Which condition is most likely?
What is hemophilia with hemarthrosis?
This acute leukemia involves the myeloid cell line and commonly causes rapid bone marrow failure in adults.
What is acute myeloid leukemia, or AML?
This blood type is the universal packed red blood cell donor.
What is O negative?
A fasting glucose of 118 mg/dL is classified as this.
What is prediabetes?
A patient with excessive growth hormone secretion is prescribed a medication that decreases growth hormone release and may improve soft-tissue enlargement.
What is octreotide?
A patient’s platelet count falls by more than 50% several days after beginning heparin, and the patient develops a painful, swollen calf. What should the nurse do first?
What is stop all heparin and notify the provider?
The Philadelphia chromosome and BCR-ABL abnormality are strongly associated with this leukemia.
What is chronic myelogenous leukemia, or CML?
Fifteen minutes after a transfusion begins, a patient develops itching and hives but no respiratory distress. Which reaction is most likely?
What is a mild allergic transfusion reaction?
A random glucose of at least this value, along with classic symptoms, meets a diagnostic criterion for diabetes.
What is 200 mg/dL?
A patient with a pituitary tumor reports infertility, decreased libido, and unexpected breast milk production.
What is excess prolactin or a prolactinoma?
A patient has thrombocytopenia, fever, neurologic changes, renal dysfunction, and evidence of microthrombi. Which disorder should the nurse suspect, and which treatment is expected?
What is thrombotic thrombocytopenic purpura, or TTP, treated with urgent plasma exchange?
A leukemia patient may have a very high WBC count but still be vulnerable to infection because most of the cells are this.
What are immature or nonfunctional leukemic cells?
A patient develops chills, low back pain, hypotension, and dark urine shortly after blood is started. Which reaction is most likely?
What is an acute hemolytic transfusion reaction?
An alert patient is shaky, sweaty, confused, and has a blood glucose of 48 mg/dL. What should the nurse give first?
What is approximately 15 grams of fast-acting carbohydrate?
A patient has fragile skin, easy bruising, muscle weakness, central weight gain, high blood pressure, and frequent infections.
What is Cushing syndrome?
patient with von Willebrand disease is scheduled for a dental extraction. Which medication should the nurse expect to administer before the procedure to reduce bleeding?
What is desmopressin, or DDAVP?
A child with ALL undergoes this procedure to determine whether leukemia cells have spread into the cerebrospinal fluid.
What is a lumbar puncture?
An older adult with kidney disease develops dyspnea, crackles, hypertension, and jugular vein distention during a transfusion.
What is transfusion-associated circulatory overload, or TACO?
This type of insulin begins working in about 15 minutes and is administered immediately before meals or with the first bites of food.
What is rapid-acting insulin?
A patient with primary adrenal insufficiency develops vomiting and cannot keep prescribed corticosteroids down. Which concern should the nurse recognize as most urgent?
What is risk for Addisonian crisis?