Question 1

Which is an age-related hematological change the nurse anticipates when reviewing a complete blood count (CBC) for an older adult patient?

Accepted Answer

An increased sedimentation rate is a common age-related hematological change in older adults, often reflecting inflammation or other chronic conditions.

Question 2

Place the stages of hemostasis in the correct order (1-5). (Enter the number of each step in the proper sequence; do not use punctuation or spaces. 
A) Vasospasm
B) Clot formation
C) Clot retraction
D) Clot dissolution
E) Formation of platelet plug

Accepted Answer

The answer of Place the stages of hemostasis in the...

Question 3

The nurse is caring for an older adult patient with hemolytic anemia. When planning care for this patient, which should the nurse take into consideration regarding this diagnosis? Select all that apply.

Accepted Answer

The answer of The nurse is caring for an older...

Question 4

The nurse correlates an intact immune system with the function of which stem cells? Select all the apply.

Accepted Answer

B lymphocytes and T lymphocytes are types of white blood cells that play crucial roles in the immune system. B lymphocytes are responsible for producing antibodies, while T lymphocytes help in cell-mediated immunity and can directly kill infected host cells, activate other immune cells, and regulate the immune response. Granulocytes and neutrophils are also involved in the immune response but are not stem cells. Thrombocytes, or platelets, are involved in blood clotting and not directly in immune function.

Question 5

In providing care for a patient who takes 325 mg aspirin daily, the nurse teaches the patient that with long-term aspirin therapy, which laboratory tests need to be periodically monitored? Select all that apply.

Accepted Answer

Aspirin can affect blood clotting, leading to changes in hematocrit and potentially affecting INR and prothrombin time, which are measures of blood clotting. Aspirin can also impact kidney function, necessitating monitoring of serum creatinine. Leukocytes are not directly affected by aspirin, hence not typically monitored for aspirin therapy.

Question 6

Which statement to the nurse by the patient about a planned bone marrow biopsy indicates the need for further teaching?

Accepted Answer

The correct statement indicating the need for further teaching is that the patient believes they will need to be on strict bedrest for at least 24 hours after a bone marrow biopsy. Typically, strict bedrest for such an extended period is not required following this procedure; patients are usually able to resume normal activities much sooner, often within a few hours, as long as they do not experience any complications.

Question 7

The nurse is assisting the healthcare provider with a bone marrow aspiration and biopsy on a patient who has leukemia. The patient also has thrombocytopenia. On completing of the test, which intervention is a priority for the nurse?

Accepted Answer

Holding pressure on the wound for at least 5 to 10 minutes is a priority for a patient with thrombocytopenia (a condition characterized by a low platelet count) to prevent excessive bleeding after a bone marrow aspiration and biopsy.

Question 8

In completing a physical assessment in an 80-year old male, the nurse correlates which findings to age-related changes to the hematological system? Select all that apply.

Accepted Answer

The answer of In completing a physical assessment in an...

Question 9

Which actions does the nurse implement in the patient who is neutropenic? Select all that apply.

Accepted Answer

Neutropenic patients are at a higher risk for infection due to a reduced number of neutrophils. Performing frequent mouth care helps prevent infections in the mouth. Implementing hand hygiene before touching the patient and teaching visitors to wash hands before entering the room are crucial to prevent the transmission of infections. Limiting the number of visitors reduces the patient's exposure to potential infections.

Question 10

The nurse teaches a patient to increase the intake of which hematopoietic vitamins to promote red blood cell formation and function? Select all that apply.

Accepted Answer

The answer of The nurse teaches a patient to increase...

Quiz 33: Assessment of Hematological Function