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MedSurge-HEMATOLOGY

MedSurge HEMATOLOGY review

QuestionAnswer
Erythrocyte, production stimulated by? hypoxia
Increase in _____ indicate an increased rate of erythropoiesis? reticulocytes
Immature cell of _____ is a band? neutrophils
_____ may become tissue macrophages? monocytes
30% of the volume of _____ is stored in the spleen? platelets
_____ are primarily responsible for the immune response? lymphocytes
0% - 2% of WBCs are _____? monocytes
_____ are increased in individuals with allergies. eosinophils
_____ respond first at injury site. neutrophils
20% - 40% of WBCs are _____? lymphocytes
_____ releases granules that increase allergic and inflammatory responses basophils
_____ arise from megakaryocytes platelets
50% - 70% of WBCs are _____? neutrophils
_____ make up 2$ - 4% of WBCs. eosinophils
Neutrophils are known as _____? "segs"
Granulocytes include: _____, _____, and _____. basophils, eosinophils, neutrophils
Red cell production is stimulated by the release of growth factor, _____ from the kidney erythropoietin
Nutrients essential for RBC production are: _____, _____, and _____. iron, folic acid, vitamin B12
Organs responsible for filtering are: _____, _____, and _____. liver, lymph nodes, spleen
Iron is stored in the body as: _____ and _____. ferritin, hemosiderin
During fibrinolysis by plasmin, the fibrin clot splits into smaller molecules known as? fibrin split products (FSP) or fibrin degradation products (FDP)
Increased FSP leads to _____? bleeding; prevents fibrin stabilization
In the elderly PTT is normally (increased / decreased) decreased
Overproduction of myeloblasts on a CBC would include increased values in: _____, _____, and _____. eosinophils, basophils, neutrophils
During a physical assessment of pt. w/thrombocytopenia, nurse would expect to find p_____, and p_____. petechiae, purpura
A smooth, shiny, reddened tongue is an indication of? iron-deficiency anemia or pernicious anemia
serum iron: 40 mcg/dL, indicates? iron-deficiency anemia
ESR: 30 mm/hr, indicates? an inflammatory condition
Increased band neutrophils, indicates? infection
aPPT: 60sec, indicates? heparin therapy
Indirect bilirubin: 2.0 mg/dL, indicates? hemolysis of RBCs
Bence-Jones protein in urine, indicates? multiple myeloma
Ecchymosis is _____? bruising
Dissolution of a fibrin clot is termed _____? fibrinolysis
WBC <4000 indicates _____? leukopenia
Absolute neutrophil count <1000/uL indicates _____? neutropenia
Marked decreased in RBCs, WBCs, and platelets is termed _____? pantocytopenia
Petechiae display as? small, purplish pinpoint lesions
3 functions of blood? transportation, regulation, protection
2 major components of blood _____ and _____? plasma, proteins
Granulocytes, primary function is? phagocytosis
Lumps can be an indication of? infection, foreign infiltrations, or systemic disease such as leukemia, lymphoma, Hodgkin’s lymphoma, and metastatic cancer
Swollen lymph nodes are described as? tender/non-tender, soft/hard, and mobile/fixed
An increase of RBCs are seen in high altitudes because erythropoiesis is stimulated by? hypoxia
In malignant disorders, the number of cells available for phagocytosis (increases/decreases)? decreases
Anticoagulants such as warfarin (Coumadin) interferes with prothrombin production during which phase of clotting? activation of thrombin
Iron absorption occurs in the _____? duodenum
Antiseizure drugs (eg. phenytoin [Dilantin], carbamazepine [Tegretol], can cause hematologic effect of _____? anemia
normal findings for palpable lymph nodes 0.5 - 1.0 cm / firm / non-tender / mobile
Flushing on the palms or soles, may be indicative of _____? anemia
Jaundiced sclera, may be indicative of? bile accumulation, excessive hemolysis, liver disease, infiltration
Parathesias of feet and hands; ataxia, may be indicative of? cobalamin (Vit B12) or folate deficiency
Bone pain, may be indicative of? multiple meyloma; bone demineralization; sickle cell disease
Joint swelling, may be indicative of? hemophilia; sickle cell disease
Hepatomegaly and jaundice often occur with? hemolytic anemia
Pt. with Vit B12 deficiency often have (increased / decreased) stomach acidity decreased (achlorhydria)
Dietary intake of Vit B12 / bone marrow transplant (is / is not) a treatment option for pernicious anemia? is not; person has inability to absorb Vit B12, they need to do supplements for life
Etiology of aplastic anemia; impaired oral mucous? deficiency in platelets, RBCs, WBCs; coagulation factors NOT a factor
Aplastic anemia is? a condition where bone marrow does not produce sufficient new cells to replenish blood cells
Primary nursing interventions for pt. with aplastic anemia are directed toward? prevention of hemorrhage and infection
Created by: fluency