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NCLEX-RN Exam: Caring for the Client with Disorders of the Hematopoietic System
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NCLEX-RN Exam: Caring for the Client with Disorders of the Hematopoietic System
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10 Questions

1. The nurse caring for a client with iron deficiency has performed dietary teaching of foods high in iron. The nurse recognizes that teaching has been effective when the client selects which meal plan?
2. Which clinical manifestation, noted in a client with pernicious anemia, would indicate that the client has been noncompliant with B12 injections?
3. A 15-year-old client with iron deficiency anemia and a ruptured ectopic pregnancy needs a blood transfusion prior to surgery. The client’s mother is a Jehovah’s Witness and refuses to sign the blood permit. Which nursing action is most appropriate?
4. The nurse is caring for a 70-year-old client with anemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse’s initial action?
5. Which clinical manifestation, noted in a client with pernicious anemia, would indicate that the client has been noncompliant with B12 injections?
6. The nurse is administering iron by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
7. The nurse is administering iron by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?
8. A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasoocclusive crisis?
9. The physician has ordered a minimal bacteria diet on a client with neutropenia. Which seasoning is not permitted for this client?
10. A 15-year-old client with iron deficiency anemia and a ruptured ectopic pregnancy needs a blood transfusion prior to surgery. The client’s mother is a Jehovah’s Witness and refuses to sign the blood permit. Which nursing action is most appropriate?

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