Title: Apply the nursing process for a client with a disorder of the hematologic or lymphatic system.
Course: Practical Nursing III (14052-III) > Section: Applying the Nursing Process to the Adult Client

Application should include

- identifying factors in the prevention of disorders of the hematologic and lymphatic systems
- describing steps in nursing assessment
- nursing management in diagnostic tests
- using skills involved with related procedures
- using nursing management of selected disorders
- identifying client problem and plan of care
- managing pharmacological and dietary plans
- providing educational guidelines.

Process/Skill Questions:

- What are the factors related to the prevention of hematologic and lymphatic system disorders, such as reduction of environmental exposure to radiation and hazardous chemicals, genetic counseling, and adequate diet?
- What are the steps in the nursing assessment of the client with a hematologic and lymphatic system disorder?
- What is the purpose of and the nursing management for selected diagnostic tests, such as radiography, bone scan, lymphography, bone marrow aspiration, blood typing and cross matching, blood gas analysis, and blood tests (e.g., complete blood count [CBC], white blood cell count [WBC], differential sedimentation rate, Bence-Jones protein, Schilling test)?

- How would one explain the pathophysiology, clinical manifestations, nursing management, and treatment modalities for selected disorders such as red blood cell disorders (e.g., hemolytic anemia, iron deficiency anemia, sickle cell anemia, pernicious anemia, aplastic anemia, polycythemia vera), white blood cell disorders (e.g., agranulocytosis, hemophilia, acute and chronic leukemia), infectious mononucleosis, multiple myeloma, and lymphatic system disorders (e.g., Hodgkin's disease, non-Hodgkin's lymphoma)?

- What are nursing diagnoses related to the client with a hematologic and lymphatic system disorder?
- How would one develop a plan of care to meet the biological, psychological, social, and cultural needs of the client with a hematologic or lymphatic disorder?
- How would one integrate pharmacological agents, such as
  - blood products
  - immunotherapeutic drugs
  - folic acid
  - analgesics
  - iron preparations
  - antineoplastic drugs
  - vitamin B12
  - erythropoietin

in the management of the client?

- How would one incorporate dietary principles, such as bland diet, high-protein diet, and dietary supplements, in the care of the client?
- What educational guidelines, such as stress management, diet instructions, genetic counseling, and measures to prevent injury or hemorrhage, can one provide for the client?