NUR 211 Unit 4 Exam
- A nurse is caring for a client who has sickle cell anemia and the nurse’s assessment
reveals the possibility of substance abuse. What is the nurse’s most appropriate action?
A. Encourage the client to rely on complementary and alternative therapies
B. Encourage the client to seek care from a single provider for pain relief
C. Teach the client to accept chronic pain as an inevitable aspect of the disease
D. Limit the reporting of emergency department visits to the primary HCP - The nurse on the pediatric unity is caring for a 10 year old boy with a diagnosis of
hemophilia. The nurse knows that priority nursing diagnosis for a patient with
hemophilia is what?
A. Hypothermia
B. Diarrhea
C. Ineffective coping
D. Imbalance nutrition: Less than body requirements
Rationale:
Most patients with hemophilia are dx as children, often require assistance in coping w/
condition bc of it is chronic, places restrictions on daily life, and is an inherited disorder
that can be passed to future generations - A nurse is planning the care of a patient with a diagnosis of sickle cell disease who
has been admitted for the treatment of an acute vaso-occlusive crisis. What nursing
diagnosis should the nurse prioritize in the patient’s plan of care?
A. Risk for disuse syndrome related to ineffective peripheral circulation
B. Functional urinary incontinence related to urethral occlusion
C. Ineffective tissue perfusion related to thrombosis
D. Ineffective thermoregulation related to hypothalamic dysfunction - A patient is being treated on the medical unit for a sickle cell crisis. The nurse’s most
recent assessment reveals an oral temperature of 100.5 F and a new onset of fine
crackles on lung auscultation. What is the nurse’s most appropriate action?
A. Apply supplementary oxygen via nasal cannula
B. Administer bronchodilators by nebulizer
C. Liaise with RT and consider high-flow oxygen
D. Inform provider that the patient my have an infection - The nurse is aware that patients with sickle cell anemia benefit from understanding
what situations can precipitate a sickle cell crisis. When teaching a patient with sickle
cell anemia about strategies to prevent crises, what measures should the nurse
recommend?
A. Using prophylactic antibodies and performing meticulous hyigene
B. Maximizing physical activity and taking OTC iron supplements
C. Limiting psychosocial stress and eating a high-protein diet
D. Avoiding cold temperatures and ensuring sufficient hydration - A nurse is providing discharge education to a patient who has recently been
diagnosed with a bleeding disorder. What topic should the nurse prioritize when
teaching this patient?
A. Avoiding buses, subways, and other crowded, public sites
B. Avoiding activities that carry a risk for injury
C. Keeping immunizations current
D. Avoiding foods high in vitamin K - A nurse in a long-term care facility is admitting a new resident who has a bleeding
disorder. When planning this resident’s care, the nurse should include which of the
following?
A. Housing the resident in a private room
B. Implementing a passive ROM program to compensate for activity limitation
C. Implementing of a plan for fall preventions
D. Providing the patient with a high-fiber diet
- A young man with a diagnosis of hemophilia A has been brought to the ED after
suffering a workplace accident resulting in bleeding. Rapid assessment has revealed
the source of the patient’s bleeding and established that his vital signs are stable. What
should be the nurse’s next action?
A. Position the patient in a prone position to minimize bleeding
B. Establish IV access for the administration of vitamin K
C. Prepare for the administration of factor VIII
D. Administer a normal saline bolus to increase circulatory volume - A nurse is planning the care of a patient who has a diagnosis of hemophilia A. When
addressing the nursing diagnosis of Acute Pain related to Joint Hemorrhage, what
principle should guide the nurse’s choice of interventions?
A. Gabapentin is effective because of the neuropathic nature of the patient’s pain
B. Opioids partially inhibit the patient’s synthesis of clotting factors
C. Opioids may cause vasodilation and exacerbate bleeding
D. NSAIDs are contraindicated due to the risk for bleeding - A night shift nurse is reviewing the next day’s medication administration record
(MAR) of a patient who has hemophilia. The nurse notes the MAR specifies both PO
and subcutaneous options for the administration of a PRN antiemetic. What is the
nurse’s best action?
A. Ensure the day shift nurse knows not to give the antiemetic
B. Contact the prescriber to have the subcutaneous option discontinued
C. Reassess the patient’s need for antiemetics
D. Remove the subcutaneous route from the patient’s MAR - A patient with Von Willebrand Disease has experienced recent changes in bowel
function that suggests the need for a screening colonscopy. What intervention should
be performed in anticipation of this procedure?
get pdf at ;https://learnexams.com/search/study?query=
