When assessing a female client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential?

Health history, such as bleeding, fatigue, or fainting

Menstrual history

Lifestyle assessments, such as exercise routines

Age and gender

Answer and Explanation

The Correct Answer is A

A. Health history, such as bleeding, fatigue, or fainting: This is the most essential assessment when evaluating these clients. Symptoms like bleeding, fatigue, or fainting can be indicative of various blood disorders, including anemia, leukemia, or clotting disorders.

B. Menstrual history: While menstrual history is important, it is not the most essential initial assessment for hematopoietic or lymphatic disorders unless there are signs of heavy bleeding or irregular cycles, which can contribute to anemia or other hematologic issues.

C. Lifestyle assessments, such as exercise routines: Lifestyle factors are important for overall health but are not the most critical aspect to focus on when evaluating hematopoietic or lymphatic disorders. The focus should be on symptoms like fatigue and bleeding.

D. Age and gender: While age and gender may influence the likelihood of certain hematologic or lymphatic conditions, they are not as immediately critical as understanding the symptoms that the client is experiencing, such as bleeding or fatigue.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Popping sounds: Popping sounds, or crackles, are often associated with conditions like pneumonia or heart failure. They are not typically heard in pleurisy, where the pleural surfaces rub together.

B. Squeaky, musical sounds: Wheezes, which are high-pitched and musical, occur in conditions like asthma or bronchospasm. Pleurisy does not typically produce wheezing sounds but rather a different kind of friction noise due to pleural inflammation.

C. Loud, scratchy sounds: A characteristic finding in pleurisy is a pleural friction rub, which sounds like loud, scratchy sounds. This occurs due to the inflamed pleural layers rubbing together during respiration.

D. Snoring sounds: Snoring sounds, or rhonchi, are often heard in conditions involving airway obstruction, such as bronchitis. This is not consistent with pleurisy, where the issue is inflammation of the pleura rather than airway obstruction.

A. Auscultate lung fields. B. Assess pulse and respirations. C. Assess characteristics of her sputum. D. Instruct to slowly exhale with pursed lips.

Correct Answer is B

Explanation

A. Auscultate lung fields: Auscultating the lungs is important for assessing the condition of the lungs, but it is not the first action. Vital signs should be assessed first to ensure the client is stable before proceeding with any treatment or procedure.

B. Assess pulse and respirations: This is the first step in preparing the client for percussion, vibration, and postural drainage. Assessing the pulse and respirations ensures that the client is hemodynamically stable and able to tolerate the procedure.

C. Assess characteristics of her sputum: While evaluating the sputum is important for monitoring the effectiveness of treatment, it is not the first action to take. Ensuring the client’s respiratory status is stable is the priority.

D. Instruct to slowly exhale with pursed lips: While this technique can help with breathing and promoting airway clearance, it is not the first step before performing percussion and drainage. The client’s vital signs should be checked first to ensure they are stable enough for the procedure.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When assessing a female client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

Correct Answer is C

Explanation

A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?

Correct Answer is B

Explanation

Your patient is to receive Zithromax oral suspension 1 g PO now. You have available Zithromax 200mg/5mL. How many milliliters will you administer per dose?

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma?

A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?

A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis?

A nurse is preparing a client who is to receive chemotherapy for treatment of breast cancer. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)

A nurse is caring for a client who has diagnosed with chronic gout. Which of the following medications should the nurse prepare to administer?