Deck 12: White Blood Cell Disorders

Question 1

What causes lymphomas?
1) They develop in the precursor cells of the bone marrow.
2) They appear like blast cells.
3) They do not differentiate into mature cells.
4) They arise from abnormal proliferation of T lymphocytes.

Answer 1

4

Question 2

On reviewing the blood reports of a client who presents with a fever, the nurse finds that the white blood cell count is 13,000/microliter. What term should the nurse use when documenting this finding?
1) Leukocytosis
2) Leukopenia
3) Neutrophilia
4) None of the above

Answer 2

1

Question 3

A nurse is reviewing the complete blood count of a client who presents with an infection. It shows that the white blood cell count is 9,000/microliter, neutrophil count is 8,500, leukocyte count is 4,000, eosinophil count is 600/microliter, and basophil is 1%. What should the nurse use when documenting this finding?
1) Eosinophilia
2) Neutrophilia
3) Leukocytosis
4) None of the above

Answer 3

2

Question 4

A client comes to the hospital with petechiae. The complete blood count report shows a decrease in the platelet count. What should the nurse include in the plan of care based on the information?
1) Avoid invasive procedures.
2) Discourage the use of stool softeners.
3) Assess the temperature every 6 hours.
4) Encourage the use of a hard bristle toothbrush.

Question 5

Which blood component is developed from megakaryocytes?
1) Platelets
2) Red blood cells
3) White blood cells
4) None of the above

Question 6

A client comes to the hospital with reports of chest pain due to lymphoma. Reports show that the lymphoma cells have a rapid growth, but are curable. How would this lymphoma be classified?
1) Low-grade lymphoma
2) Intermittent-grade lymphoma
3) High-grade lymphoma
4) None of the above

Question 7

Which white blood cells are the first responders in defense against antigens?
1) Basophils
2) Macrophages
3) B lymphocytes
4) T lymphocytes

Question 8

An 85-year-old client comes to the hospital and reports severe back pain. The client's blood report shows IgA concentration of 2 grams/deciliter and plasma cells of 8% in the bone marrow. The client does not show symptoms of anemia or hypercalcemia. Based on these findings, what should the nurse suspect?
1) Multiple myeloma
2) Monoclonalgammopathy of undetermined significance
3) Both A and B
4) None of the above

Question 9

A nurse is analyzing the report of a 5-year-old client with leukemia, who is receiving chemotherapy. The platelet count is 20,000/microliter. What would be the best intervention for the nurse to include in the client's plan of care?
1) Monitor the client's vital signs.
2) Check the temperature every six hours.
3) Initiate protective isolation precautions.
4) Use a soft toothbrush for oral care.

Question 10

A client with leukemia received chemotherapy 2 days ago and has subsequently developed acute renal failure. Which laboratory result should the nurse assess?
1) The release of high amounts of calcium
2) The release of high amounts of uric acid
3) The release of high amounts of potassium
4) The release of high amounts of phosphate

Question 11

Which clinical sign signifies leukocytosis?
1) A white blood count of 3,000/microliter
2) A white blood count of 52,000/microliter
3) A decrease in signs and symptoms of infection
4) Wounds that show no evidence of healing

Question 12

The complete blood count report of a client, the enlarged lymph nodes, and epistaxis indicate that the client has developed acute lymphocytis leukemia. What could be the reason for the occurrence of epistaxis in the client?
1) Crowding of platelets by blast cells
2) Invasion of blast cells into the central nervous system
3) Proliferation of blast cells in the center of the bones
4) None of the above

Question 13

The registered nurse is teaching the student nurse about hematological cancer. Which statement made by the student nurse indicates effective learning?
1) "Exposure to intense radiation causes cancer."
2) "Contact with benzene causes cancer."
3) "Damaged deoxyribonucleic acid causes cancer."
4) All of the above.

Question 14

An 8-year-old child presents to the hospital with a lymphocytopenia. Based on this diagnosis, what would the nurse expect to find?
1) A lymphocyte count greater than 9,000/ microliter in infants
2) A lymphocyte count less than 3,000/ microliter in children
3) A lymphocyte count greater than 7,000/ microliter in children
4) All of the above

Question 15

A nurse is formulating a nursing diagnosis for a client with chronic lymphoid leukemia. Which nursing measure should be included in the process?
1) Placing the client in protective isolation
2) Limiting visitors with cold and infections
3) Ensuring that all visitors wash their hands before coming in contact with the client
4) All of the above

Question 16

A 65-year-old client undergoes chemotherapy for treating cancer. A complete blood count report after chemotherapy shows red blood cells -3.02 million cells/microliter, white blood cells -3,200 cells/microliter, and platelets -100,000/microliter. What disorder does the nurse suspect in the client?
1) Myelodysplastic syndrome
2) Lymphocytosis
3) Monocytic leukocytosis
4) None of the above

Question 17

A client with an infection was brought to the hospital. The complete blood count with differential report shows a white blood cell count of 3,000/uL. Which condition has the client developed?
1) Leukopenia
2) Leukocytosis
3) Thrombocytopenia
4) None of the above

Question 18

Which part of the body produces white blood cells?
1) Tonsils
2) Adenoids
3) Thymus gland
4) Bone marrow

Question 19

A client comes to the hospital with symptoms of an allergic reaction from an antibiotic. Which blood cells would show an increase in the complete blood count report?
1) Neutrophils
2) Eosinophils
3) Basophils
4) None of the above

Question 20

The nurse is reviewing the complete blood count of a client who presents with a fever. It shows that the white blood cell count is 3,000/microliter. What should the nurse use when documenting this finding?
1) Leukocytosis
2) Leukopenia
3) Neutrophilia
4) None of the above

Question 21

A 50-year-old client worked in the radiation department of a hospital for 6 years. He reports weakness and fatigue. The complete blood report of the client is documented. Based on these findings, what condition should the nurse suspect?
1) Acute lymphocytic leukemia
2) Chronic lymphocytic leukemia
3) Acute myelogenous leukemia
4) Chronic myelogenous leukemia

Question 22

A 2-year-old client has been brought to the hospital with a fever. The complete blood count report shows a lymphocyte count of 10,000/microliter, eosinophil count of 1%, and neutrophil count of 2%. What condition has the client developed?
1) Lymphocytosis
2) Eosinophilia
3) Neutropenia
4) None of the above
Exhibit

Question 23

What is the other name for white blood cells?
1) Leukocytes
2) Erythrocytes
3) Thrombocytes
4) None of the above

Question 24

The complete blood count report of a 45-year-old client, who reports an unintended weight loss, is documented. Which condition has the client developed?
1) Hodgkin's lymphoma
2) Non-Hodgkin's lymphoma
3) Neutropenia
4) None of the above

Question 25

The complete blood count report of a client with a high fever as a result of infection is documented. Based on these findings, what condition should the nurse suspect?
1) Neutrophilia
2) Neutropenia
3) Leukocytosis
4) Eosinophilia