Deck 28: Determinants and Assessment of Hematologic Function

Question 1

A patient suffered severe trunk and lower extremity injury in a motor vehicle accident.Which injuries would indicate to the nurse that this patient may have dysfunction of normal hemostasis? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A)Contusion of the spleen
B)Laceration of the liver
C)Femur fractures
D)Bruising of the heart
E)Pneumothorax

Answer 1

Contusion of the spleen
Laceration of the liver
Femur fractures

Question 2

A wound on a patient's leg has stopped bleeding.The nurse would attribute this to which physiologic occurrence?

A)Tumor necrosis factor has sealed the wound.
B)Neutrophils have invaded the wound.
C)Macrophages have been released into the general circulation.
D)Platelets retracted the clot,reducing leakage.

Answer 2

Platelets retracted the clot,reducing leakage.

Question 3

A patient is admitted with iron deficiency anemia.The nurse assesses this patient for the presence of which most likely finding?

A)Hypoxia
B)Reduced urine output
C)Bleeding
D)Dehydration

Answer 3

Hypoxia

Question 4

A patient is prescribed vitamin B12 injections.What information should the nurse provide when starting this medication?

A)"Vitamin B12 will strengthen the red blood cells' membranes and prevent them from being damaged so easily."
B)"Vitamin B12 is needed for normal manufacture of red blood cells."
C)"Vitamin B12 will increase the ability of your blood to carry oxygen."
D)"Vitamin B12 helps build the components of white blood cells."

Question 5

A patient is admitted with left lower thoracic rib injuries.The nurse realizes this injury could result in which problem for this patient?

A)Decrease in platelet maturation
B)Decreased availability of B cells
C)Reduction in T cell formation
D)Reduction in filtering of foreign matter in the blood

Question 6

The mother of a young child tells the nurse that when she was breastfeeding her baby,he never had any colds or infections but now that he is weaned,he seems to be sick all of the time.What should the nurse explain to the mother?

A)"The breast milk provided passive immunity to the baby that he no longer is receiving."
B)"The child should be immunized to prevent these common illnesses."
C)"Some children are just prone to getting more infections than others."
D)"Most babies won't get sick until they are past the age of 12 months."

Question 7

A patient is being treated for anemia after a postpartum hemorrhage.The nurse would expect that this patient's erythrocytes would have which appearance? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A)Microcytic
B)Normochromic
C)Macrocytic
D)Hypochromic
E)Normocytic

Question 8

A patient is being evaluated for a kidney transplant.Which individual is most likely the best candidate to donate this organ?

A)A live donor from a donor bank
B)Live kidney transplant from the patient's spouse
C)Cadaver kidney transplant
D)Live kidney transplant from a brother

Question 9

The patient has developed a "shift to the left." The nurse would expect which value on the complete blood count?

A)Increased bands
B)Increased eosinophils
C)Decreased lymphocytes
D)Increased monocytes

Question 10

A man with assessment findings associated with prostate cancer is having the tumor-associated antigen PSA drawn.The nurse anticipates this level will be used for which purposes? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A)To confirm the diagnosis of prostate cancer
B)To rule out the presence of prostate cancer
C)To screen for the probability of prostate cancer
D)To assess efficacy of treatment
E)To determine presence of metastasis

Question 11

A patient tells the nurse that he thought he had a varicella vaccine as a child.His daughter has just developed varicella.What information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A)"Since you were vaccinated,you won't contract varicella from your daughter."
B)"Your innate immunity will protect you from contracting this disease."
C)"It is dangerous to give a second injection of vaccines."
D)"You may need an injection to boost your immunity."
E)"We can check your blood titer to check your immunity."

Question 12

A patient's admission laboratory work reveals a platelet count of 90,000/mcL.Which interventions should the nurse implement? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A)Implement bleeding precautions.
B)Monitor urine output.
C)Limit the ingestion of green leafy vegetables.
D)Restrict fluids.
E)Review the patient's medication history.

Question 13

A patient is scheduled to have his tonsils removed.The nurse realizes that this procedure could result in deficiency of which immunoglobulin?

A)Immunoglobulin D
B)Immunoglobulin A
C)Immunoglobulin E
D)Immunoglobulin G

Question 14

A patient is diagnosed with a low red blood cell count.The nurse should assess this patient for which finding?

A)History of fractures
B)Carbohydrate intake
C)Location of joint replacements
D)Renal functioning

Question 15

A patient is admitted with a leg wound with a large amount of pus exudate.The nurse assesses that which part of the immune process is functioning?

A)The complement system causing cellular destruction
B)The natural killer lymphocytes circulating through the lymph
C)The neutrophils arriving at the wound as the first line of defense
D)The macrophages circulating in the blood

Question 16

A patient is concerned that the disease that has affected his horses will cause him to become ill.What information should the nurse provide?

A)"You will probably contract the same illness but in a milder form."
B)"Many illnesses are species specific.It is not likely that you will contract the same illness as your horses."
C)"All illnesses can be transmitted between animals and humans,so I am glad you came in to be checked."
D)"There are vaccinations against diseases caused by horses.I would talk with the veterinarian."

Question 17

A patient diagnosed with leukemia has minimal white blood cells.The nurse realizes which intervention may be indicated for this patient?

A)Infusion of fresh frozen plasma
B)Infusion of red blood cells
C)Bone marrow transplant
D)Immunizations

Question 18

The nurse caring for a patient with an infected leg wound realizes that neutrophils and macrophages will arrive to the wound as a part of the natural body response.How would the nurse explain this process to the patient?

A)"Your white blood cells will travel through your lymph system to the wound."
B)"Chemical signals from the injured tissue help guide the white blood cells to where they are needed."
C)"Only the white blood cells already in your system will be able to fight this infection."
D)"The white blood cells attach to red blood cells for transport to the wound."

Question 19

A patient being admitted for knee surgery says,"Everyone in my office is sick all of the time,but I never get sick." How would the nurse evaluate this statement?

A)The patient may have a strong antigen-antibody response.
B)This patient's poorly differentiated histocompatibility antigens may be a problem during postoperative recovery.
C)The patient's coworkers must have immune system compromise.
D)The patient must have strong passive immunity.

Question 20

A patient was admitted through the emergency department with fractures of the skull,ribs,and both femurs sustained from a motor vehicle accident.The nurse provides care based on changes in which pathophysiological process?

A)Formation of red blood cells
B)Cellular and humoral immune responses
C)Formation of plasma
D)Antigen-antibody formation