Hematology/Oncology

The nurse learns the patient has a Factor IX deficiency. Which intervention does the nurse include in the care plan to promote safety specifically for this patient?

A patient is brought to the emergency department with right-sided weakness, right-sided facial drooping, slurring of the words, and aphasia. The nurse is most suspicious for which condition?

A pregnant woman is diagnosed with an ischemic stroke and alteplase is discussed. The nurse is aware alteplase is in which pregnancy category?

The infiltration of which type of cells into the epidermis causes the characteristic symptoms of plaque psoriasis?

An individual develops anaphylaxis after a bee sting. Which class of immunoglobulin is responsible for the associated symptoms?

A patient presents with widespread bruising and petechiae. The patient has no other signs or symptoms of disease. The nurse anticipates which lab results for this patient?

A patient presents to the emergency department complaining of intractable epistaxis. Upon assessment, the nurse notes petechiae and ecchymosis covering the patient’s chest and arms. The patient is otherwise well. Laboratory results are normal with exception of the patient’s platelet count, which is abnormally low (29,000/microL). The nurse anticipates an order for which medication?

The nurse is providing discharge education to a patient diagnosed with immune thrombocytopenic purpura. Which statement by the patient indicates a need for further teaching?

Which patient does the nurse visit first?

Which assessment in the patient with bladder cancer indicates the patient is experiencing a complication of the disease?

Which patient must be treated first in the emergency department following a mass shooting?

After receiving report, which patient does the nurse see first?

The nurse holds the transfusion and contacts the blood bank if which anemic patient is sent B negative packed red blood cells for transfusion?

The nurse is teaching a student nurse about cancer screening guidelines. Which statement by the student nurse indicates the need for further teaching?

Which complication is of greatest concern for the patient with nephrotic syndrome?

The patient’s thyroid stimulating hormone (TSH) is 9.3 mIU/L and serum free thyroxine (T4) is 0.2 ng/dL. Which findings are consistent with these lab results? Select all that apply.

At delivery, the neonate is noted to have diffuse purple lesions over the entire body and is taken to the neonatal intensive care unit for further assessment and management. The nurse notes the toes have turned black; pedal pulses are palpable. The nurse anticipates testing will reveal a deficiency in which substance?

The 6-month-old infant is admitted to the pediatric intensive care unit with a diffuse purpuric rash and prolonged bleeding. The nurse notes the fingers on the right hand are pale and cool to the touch. Which question asked of the parents will be the most helpful in diagnosing this patient’s condition?

Which lab value is consistent with acute disseminated intravascular coagulopathy (DIC)?

The neonate is diagnosed with purpura fulminans. Which order does the nurse anticipate first?

The nurse notes the patient is oozing blood from the IV site and has black, tarry stools. Which order will be most helpful for this patient?

The patient with von Willebrand disease has a fibrinogen level of 68 mg/dL. The nurse anticipates administering which blood product?

The patient with anemia has been prescribed a transfusion of packed red blood cells. The patient’s blood type is AB+ and the blood received from the blood bank is B-. Which action by the nurse is most appropriate?

The nurse is providing discharge instructions and education to a patient with stomach cancer who is interested in alternative/complementary medicine. Which low-risk therapies does the nurse include in the discussion? Select all that apply.

The patient with cervical cancer has an implanted sealed internal radiation device. The nurse provides which instruction to the patient?

Which patient is at the highest risk for ovarian cancer?

Which statement by the patient who has recently undergone a radical mastectomy indicates they understand teaching by the nurse?

The patient is pale and dizzy following a gunshot wound to the groin. Minimal bleeding is noted at the site. Vital signs are notable for a heart rate of 125 bpm and a blood pressure of 73/39 mm Hg. Two unsuccessful attempts have been made to establish an IV site. He loses consciousness. Which action does the nurse take next?

The patient is brought to the emergency room by her husband with slurred speech and facial drooping. Which question does the nurse ask first?

The patient is diagnosed with new, rapid atrial fibrillation and thinks the problem has been going on for two weeks. Which statement by the patient indicates an understanding of teaching about the diagnosis?

A patient presents to the ER after having impaled his hand with a nail from a pneumatic nail gun at work. His friend removed the nail at the scene. Which statement indicates the patient understands the teaching provided by the nurse?

Which patient does the nurse assess first following shift change report?

The 50-year-old patient receiving chemotherapy for breast cancer has developed a fungal bloodstream infection. Which intervention is the nurse’s first consideration?

The nurse instructs parents on which type of diet to decrease the risk for lead poisoning in their children? 

The nurse is caring for a 48-year-old female diagnosed with acute kidney injury. Laboratory results reveal that the patient is experiencing mild hyperkalemia. Which independent nursing action is appropriate to manage the patient's hyperkalemia?

The patient with cholestasis complains of significant pruritus. The nurse bases the explanation on which understanding of the pathophysiology behind the patient's pruritus?

The patient with acquired immunodeficiency syndrome (AIDS) is receiving zidovudine (AZT). The nurse requests an order for which lab test to monitor adverse effects of the drug?

The 40-year old female patient was recently diagnosed with breast cancer. The nurse understands which factor is most important in determining prognosis? 

The parents of a 12-year-old girl with severe anemia decline a blood transfusion because it is against their religion. When responding to the parent's decision, the nurse utilizes which ethical principle?

The nurse is caring for a 22-year-old patient who is experiencing sickle-cell crisis. Which is the priority nursing consideration?

The nurse is caring for a 45-year-old patient undergoing treatment with doxorubicin for small cell lung cancer. The nurse focuses education on which adverse effects? Select all that apply.

The nurse is assigned to care for a patient who presents with fever, chills, lethargy, and sore throat. Past medical history is significant for schizophrenia diagnosed three months ago for which clozapine was prescribed. Which additional laboratory finding does the nurse expect to see in this patient?

The nurse is taking care of a patient who is prescribed chloramphenicol. After three days, the patient develops fatigue and dyspnea on exertion. Physical assessment reveals tachycardia, pallor and multiple petechiae on the trunk and extremities. The nurse anticipates which laboratory result(s)?

A new mother is discussing alcohol consumption while breastfeeding her baby. Which statement indicates a need for further teaching? 

The nurse is assigned to a 4-year-old patient admitted with a vaso-occlusive crisis secondary to sickle cell anemia. The boy is in agonizing pain. He has apparently taken off his hospital wristband. Before administering the pain medication, the nurse should perform which of the following actions?

Following a motor vehicle accident, the patient is noted to have an estimated blood loss of 500 mL and the blood pressure is normal. The nurse anticipates the provider to diagnose the patient with which class of shock?

The neonate with suspected Hirschsprung disease is scheduled to undergo testing to definitively diagnose the disorder. Which assessment finding prompts the nurse to request the procedure be postponed?

The nurse is providing education to the patient who is starting warfarin for treatment of a deep vein thrombosis (DVT). Which statements are included in teaching? Select all that apply.

The nurse is planning care for the patient with severe liver disease who has substantial ascites and peripheral edema. Which interventions are included in the care plan? 

The nurse caring for the child with beta-thalassemia is most concerned about which comorbidity?