6 Nursing Management of Hematologic Conditions Free Online FlashCards

What do low hemoglobin, low MCV, and low ferritin suggest?

Low hemoglobin, low MCV, and low ferritin support microcytic anemia with depleted iron stores; the underlying cause still needs evaluation.

What can a low reticulocyte count indicate in anemia?

A low reticulocyte count generally suggests that the marrow is not producing enough new red cells for the degree of anemia.

What is the priority response to fever with severe neutropenia?

Promptly notify the responsible clinician and follow the facility’s urgent fever/neutropenia protocol; do not delay escalation.

How should persistent painless lymph-node enlargement and night sweats be addressed?

Arrange timely clinical evaluation. Persistent enlarged lymph nodes and night sweats warrant assessment but do not by themselves confirm lymphoma.

What history and tests are relevant for recurrent bleeding?

Assess the bleeding pattern and severity, family history, and medicines; initial tests commonly include CBC with platelet count, PT, and aPTT.

Which tests commonly monitor warfarin and unfractionated heparin?

PT/INR is commonly used to monitor warfarin; aPTT can be used to monitor unfractionated heparin according to the treatment protocol.

What are key precautions for severe thrombocytopenia?

Use a soft toothbrush, reduce injury risk, apply firm pressure after venipuncture, avoid unnecessary invasive procedures, and promptly report new bleeding or neurologic changes.

What should be done for new unilateral calf swelling, warmth, and tenderness?

Promptly report the findings and follow the diagnostic and treatment plan. Do not massage the affected limb.

Which symptoms may signal pulmonary embolism in a client at risk for DVT?

Sudden shortness of breath or chest pain may signal pulmonary embolism and requires an emergency response.

What identification step is essential before a transfusion?

At the bedside, verify the client and blood component using the required identification checks and facility process before starting the transfusion.

What is the priority response to a suspected transfusion reaction?

Stop the transfusion, assess airway, breathing, and circulation, maintain IV access without flushing the existing line, and promptly notify the clinical team and transfusion service.

Do normal PT, aPTT, and platelet results rule out every bleeding disorder?

A CBC with platelet count, PT, and aPTT are common initial tests for bleeding concerns, but normal screening results do not exclude every bleeding disorder.