AMSN Hematological and Oncological Nursing 3

Question 1

A patient with chronic lymphocytic leukemia (CLL) is prescribed oral chlorambucil. What priority teaching should the nurse provide?

Accepted Answer

Monitor for signs of infection due to immunosuppression

Answer

Take the medication on a full stomach to maximize absorption

Answer

Increase sodium intake to prevent electrolyte imbalance

Answer

Avoid all sunlight exposure for 6 months after therapy

Question 2

Which nursing intervention is MOST important for a patient receiving a packed red blood cell (PRBC) transfusion?

Accepted Answer

Verify the blood type and unit ID with another licensed nurse at the bedside before starting

Answer

Warm the blood to room temperature for 2 hours before administration

Answer

Start the infusion at the fastest rate possible to prevent hemolysis

Answer

Filter the blood through a 0.2-micron filter to remove bacteria

Question 3

A patient with hemophilia A is scheduled for surgery. Which factor replacement therapy would the nurse anticipate administering?

Accepted Answer

Factor VIII concentrate

Answer

Factor IX concentrate

Answer

Fresh frozen plasma only

Answer

Vitamin K injection

Question 4

A patient receiving radiation therapy to the abdomen reports severe diarrhea and rectal bleeding. Which nursing action is the PRIORITY?

Accepted Answer

Assess the frequency, character, and volume of stool and notify the provider

Answer

Encourage a high-fiber diet to bulk the stool

Answer

Administer a Fleet enema to relieve rectal pressure

Answer

Reassure the patient that this is a normal, expected side effect

Question 5

Which patient with anemia requires the MOST urgent assessment by the nurse?

Accepted Answer

A patient with hemoglobin of 7.2 g/dL who reports chest pain and dyspnea at rest

Answer

A patient with hemoglobin of 9.8 g/dL who reports mild fatigue

Answer

A patient with hemoglobin of 10.5 g/dL with pallor of the mucous membranes

Answer

A patient with hemoglobin of 8.4 g/dL who reports difficulty walking long distances

Question 6

A nurse is caring for a patient with Hodgkin's lymphoma after staging reveals Stage IIA disease. What does this staging PRIMARILY indicate?

Accepted Answer

Involvement of two or more lymph node regions on the same side of the diaphragm without B symptoms

Answer

Involvement of a single lymph node region without symptoms

Answer

Involvement of lymph nodes on both sides of the diaphragm

Answer

Disseminated disease involving multiple organs

Question 7

A patient with aplastic anemia is receiving immunosuppressive therapy with anti-thymocyte globulin (ATG). Which nursing priority is MOST important during the infusion?

Accepted Answer

Monitor for anaphylaxis and serum sickness reactions

Answer

Ensure the patient is NPO for 8 hours before infusion

Answer

Administer the infusion rapidly over 30 minutes

Answer

Position the patient in Trendelenburg to improve venous return