Deck 30: Introduction Tothe Hematopoietic and Lymphatic Systems

Question 1

You are caring for a client who is undergoing bone marrow aspiration to determine their blood cell formation status. What nursing intervention should you provide to your client after the test?

A) Administer oral radioactive vitamin B12to the client.
B) Administer a nonradioactive B12injection.
C) Collect urine for 24 to 48 hours after the client receives the nonradioactive B .12
D) Support the client during a bone marrow aspiration and monitor the status.

Answer 1

Support the client during a bone marrow aspiration and monitor the status.

Question 2

A client is admitted to the Emergency Department with significant blood loss. The physician orders 2 units of packed red blood cells to be transfused immediately. Which blood groups would be compatible with his O Rh-positive blood group?

A) O Rh-positive or O Rh-negative
B) Only O Rh-positive
C) Only O Rh-negative
D) AB Rh-positive or Rh-negative

Answer 2

O Rh-positive or O Rh-negative

Question 3

Erythrocytes, or red blood cells, carry oxygen throughout the body. The number of erythrocytes actually varies with age, gender, and altitude. What is the normal range for erythrocytes in the adult body?

A) 3.6 and 5.4 million/mm3
B) 5.6 and 8.4 million/mm3
C) 7.2 and 9.3 million/mm3
D) 8.2 and 10.7 million/mm3

Answer 3

3.6 and 5.4 million/mm3

Question 4

What factor in plasma can be transformed from a liquid to a solid?

A) Globulins
B) Albumin
C) Leukocytes
D) Fibrinogen

Question 5

You are caring for three clients who have the following blood count values: Client A has 24,500 white blood cells (WBCs), client B has13.4 g/dL hemoglobin, and client C has a 250,000/mm3 platelet count. Which statement correctly describes the condition of each client?

A) Client A has a normal WBC count, client B has a higher hemoglobin count than normal, and client C has a normal platelet count.
B) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.
C) Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a higher platelet count than normal.
D) Client A has a normal WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.

Question 6

You are presenting an educational workshop for a local community group. You have been asked to speak about older adults and their health. What is the most important piece of information to include in this presentation?

A) Older adults are more fragile than younger adults.
B) Older adults get sicker than other people.
C) Older adults take longer to heal than other people.
D) Older adults are more susceptible to infections and malignancies.

Question 7

Globulins are proteins contained in plasma. What is their primary function?

A) Immunologic agents
B) Destruction of invading organisms
C) Precursors to clot formation
D) Transport of oxygen to the tissues

Question 8

The nurse is caring for a client with a lymphatic system disorder. What physical assessment is a priority for the nurse to perform?

A) Examine the color and quantity of urine.
B) Inspect the tonsils for size and appearance.
C) Frequently examine and record blood pressure.
D) Examine for any signs of physical injury.

Question 9

A client is admitted to the Emergency Department after a major motor vehicle accident. The client has lost a lot of blood and requires an emergency transfusion. What type of blood is compatible with all blood types?

A) AB
B) O
C) ABO
D) B

Question 10

The physician has ordered a Schilling test for an 82-year-old client you are caring for. You know that in some older adults the Schilling test poses a problem. Why would this be true?

A) Older adults cannot be subjected to radioactive substances.
B) Older adults are prone to cognitive problems or urinary incontinence.
C) Older adults pose a risk of adverse reactions from nonradioactive B .12
D) Older adults have a decreased resistance to infection.

Question 11

The nurse is caring for a client who is taking medications that depress the hematopoietic system. What signs of leucopenia would the nurse assess this client for?

A) Unusual or easy bleeding
B) Oozing from injection sites
C) Dark, tarry stools
D) Fever and sore throat

Question 12

Both the liver and the spleen have a role in erythrocyte metabolism. How would this role best be described?

A) The spleen helps in creating mature erythrocytes.
B) The liver generates erythropoietin which regulates the rate of erythrocyte production.
C) The spleen stores the iron component of hemoglobin from erythrocytes and returns it to the red marrow.
D) The spleen removes erythrocytes after 120 days, and the liver removes severely damaged erythrocytes.

Question 13

Your client is taking medications that depress the hematopoietic system. What signs should you closely monitor in this client?

A) Signs of leukocytosis
B) Signs of painful joints and discomfort
C) Signs of leukopenia and thrombocytopenia
D) Signs of hemolysis

Question 14

The nursing instructor is teaching their clinical group about laboratory blood tests. What is the major function of erythrocytes?

A) Act as mediators for the immune system
B) Destroy invading organisms
C) Transportation of O₂ to the tissues and removal of CO₂ from the tissues
D) Oxygenation of the brain

Question 15

The nurse is taking a health history on a new client with a suspected lymphatic or hematologic disorder. Why is it important for the nurse to inquire about any foreign travel this client may have done?

A) To determine the varied sexual history of the client, if any
B) To determine the potential exposure to infectious agents
C) To determine if the client has had any blood transfusions
D) To determine if the client adopted any specific dietary habits

Question 16

The instructor in the anatomy and physiology class is discussing the components of the blood. What would the instructor cite as the most abundant protein in plasma?

A) Platelets
B) Fibrinogen
C) Albumin
D) Globulins

Question 17

What is hematopoiesis?

A) The manufacture and development of blood cells
B) The production of lymphatic fluid in the body
C) The making of red blood cells and lymph
D) The development of lymph in the bone marrow

Question 18

Which protein in plasma functions primarily as immunologic agents?

A) Gamma globulins
B) Albumin
C) Fibrinogen
D) Beta globulins

Question 19

A student nurse, learning about the hematopoietic system would include what in their studies? Select all that apply.

A) Bone marrow
B) Blood
C) Plasma
D) Plasma granulocytes
E) Protein inhibitors

Question 20

When assessing for signs and symptoms related to hematopoietic and lymphatic systems, what details should the nurse ask about further?

A) A client who does not eat at night
B) A female client, age 50, yet childless
C) A client undergoing cancer treatment
D) A female client who has melanin-related skin problem

Question 21

Macrophages attack and destroy foreign substances to the body. Where does this action occur?

A) At the site of trauma
B) In the lymph node
C) In the vascular system
D) In the thymus

Question 22

The Family Nurse Practitioner is conducting a physical assessment on a client with suspected Hodgkin's lymphoma. What could unilateral enlargement of an extremity indicate?

A) Peripheral edematous involvement of the extremity
B) An ineffective lymphatic system
C) Splenic enlargement
D) Obstruction of lymphatic circulation

Question 23

The clinic nurse is preparing a client for diagnostic testing. What would the nurse include in the education of this client?

A) Tasks are necessary to participate in the test.
B) Anesthetic will be applied.
C) Consent needs to be signed.
D) They will need someone to drive them home.

Question 24

Albumin is a protein in the plasma portion of the blood. Under normal conditions albumin cannot pass through the wall of a capillary. What significance is this for the vascular compartment?

A) Helps push oxygen into the tissues of the body.
B) Retains leukocytes in the vascular compartment.
C) Helps retain fluid in the vascular compartment.
D) Absorbs carbon dioxide from the tissues for transport to the lungs.

Question 25

Undifferentiated cells that migrate to the thymus gland develop into which of the following?

A) A lymphocytes
B) D lymphocytes
C) T lymphocytes
D) S lymphocytes