Assessment of the Hematologic System (Concepts for Interprofessional Collaborative Care College Test

Assessment of the Hematologic System (Concepts for Interprofessional Collaborative Care College Test
MULTIPLE CHOICE
1. A nursing student wants to know why clients with chronic obstructive pulmonary disease tend to be
polycythemic. What response by the nurse instructor is best?
a. It is due to side effects of medications for bronchodilation.
b. It is from overactive bone marrow in response to chronic disease.
c. It combats the anemia caused by an increased metabolic rate.
d. It compensates for tissue hypoxia caused by lung disease.
ANS: D
In response to hypoxia, more red blood cells are made so more oxygen can be carried and delivered to tissues.
This is a physiologic process in response to the disease; it is not a medication side effect, the result of
overactive bone marrow, or a response to anemia.
2. A client is receiving rivaroxaban (Xarelto) and asks the nurse to explain how it works. What response by the
nurse is best?
a. It inhibits thrombin.
b. It inhibits fibrinogen.
c. It thins your blood.
d. It works against vitamin K.
ANS: A
Rivaroxaban is a direct thrombin inhibitor. It d
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thinner, although many clients call anticoagulants by this name.
3. The health care provider tells the nurse that a client is to be started on a platelet inhibitor. About what drug
does the nurse plan to teach the client?
a. Clopidogrel (Plavix)
b. Enoxaparin (Lovenox)
c. Reteplase (Retavase)
d. Warfarin (Coumadin)
ANS: A
Clopidogrel is a platelet inhibitor. Enoxaparin is an indirect thrombin inhibitor. Reteplase is a fibrinolytic
agent. Warfarin is a vitamin K antagonist.
4. A nurse is assessing a dark-skinned client for pallor. What action is best?
a. Assess the conjunctiva of the eye.
b. Have the client open the hand widely.
c. Look at the roof of the clients mouth.
d. Palpate for areas of mild swelling.

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