Med Surg 2 - Exam 2 NCLEX Questions & Answers

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Med Surg 2 - Exam 2 NCLEX Questions & Answers-When assessing a patient's nutritional-metabolic pattern related to hematologic health, what should the nurse do? Inspect the skin for petechiae. Ask ... the patient about joint pain. Assess for vitamin C deficiency. Determine if the patient can perform ADLs. - A When assessing laboratory values on a patient admitted with septicemia, what should the nurse expect to find? Increased platelets Decreased red blood cells Decreased erythrocyte sedimentation rate (ESR) Increased bands in the white blood cell (WBC) differential (shift to the left) - D Results of a patient's most recent blood work indicate an elevated neutrophil level. The nurse should recognize that this diagnostic finding most likely suggests which problem? Hypoxemia An infection A risk of hypocoagulation An acute thrombotic event - B A 30-year-old patient has undergone a splenectomy as a result of injuries suffered in a motor vehicle accident. Which phenomena are likely to result from the absence of the patient's spleen (select all that apply)? Impaired fibrinolysis Increased platelet levels Increased eosinophil levels Fatigue and cold intolerance Impaired immunologic function - B, E The nurse is providing care for older adults on a subacute, geriatric medicine unit. What effect is aging likely to have on hematologic function of older adults? Thrombocytosis Decreased hemoglobin Decreased WBC count Decreased blood volume - B A blood type and cross-match has been ordered for a male patient who is experiencing an upper gastrointestinal bleed. The results of the blood work indicate that the patient has type A blood. Which description explains what this means? The patient can be transfused with type AB blood. The patient may only receive a type A transfusion. .The patient has A antigens on his red blood cells (RBCs). Antibodies are present on the surface of the patient's RBCs. - C The patient has anemia and has had laboratory tests done to diagnose the cause. Which results should the nurse know indicates a lack of nutrients needed to produce new red blood cells (select all that apply)? Increased homocysteine Decreased reticulocyte count Decreased cobalamin (vitamin B12) Increased methylmalonic acid (MMA) Elevated erythrocyte sedimentation rate (ESR) - A, C, D In assessing the patient, which abnormal finding should the nurse relate to hemostasis abnormalities? Purpura Pruritus Weakness Pale conjunctiva - A During the admission assessment, the nurse discovers that the patient has used illicit drugs. Related to the h [Show More]

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