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hematology
blood disorders
| Question | Answer |
|---|---|
| The Dr. expects the pt. has a deficiency in the leukocyte responsible for cell-mediated immunity. The nurse knows to check the WBC's count for: | T-Lymphocytes |
| Meyloid and lymphod stem cells produce specific types of blood cells. The nurse knows, when evaluating blood test, the myeloid stem cells differentiate into all of the blood types except: | platelets |
| The nurse notes that a patient, who is a vegetarian, has an abnormal number of megaloblast. The nurse suspects a deficiency in: | vitamin B12 |
| An elderly pt. presents to the Dr.'s office with a complaint of exhaustion. The nurse, aware of the most common hematologic condition affecting the elderly, knows to check the pt. | RBC count |
| A nurse who cares for a pt. who has experienced bone marrow aspiration or biopsy should be aware of the most serious hazard of: | hemorrhage |
| A person can usually tolerated a gradual reduction in hemoglobin until the level reaches. | 5.0-5.5 |
| The nurse begins to designa nutritional packet of information for a pt. diagnosed with iron deficiency anemia. The nurse would recommend an increased intake of . | organ meats |
| A dr. prescribes one tablet of ferrous sulfate daily for a 15yr old girl who experiences heavy flow during her menstrual cycle. The nurse advises the pt. and her mother that this OTC preparation must be taken for how many months for iron replenishment to | 6-12 months |
| A pt. with chronic renal failure is being examined by the nurse practitioner for anemia. The nurse knows to review the lab data for a decreased hemoglobin level, RBC count and. | decreased level of erythropoientin |
| the most frequent symptom and complication of anemia is. | fatigue |
| The cause of Aplastic Anemia is . | related to drug, chemicals, or radiation damage,results from the body's T-cell attacking the bone marrow, and from certain infections |
| During a routine assessment of a pt. diagnosed with anemia, the nurse notes the pt. beefy red tongue. the nurse knows that this is a sign of what kind of anemia. | magaloblastic anemia |
| a nurse should know that a diagnosis of hemolytic anemia is associated with . | abnormality in the circulation of plasma, defect in the erythrocytes , and elevated indirect bilirubin |
| absence of intrinsic factor is associated with a vit. B12 deficiency, because the vit. cant bind to be transported for absorption in the. | ileum |
| a diganostic sign of pernicious anemia is. | smooth red, sore tongue |
| the shcilling test is used to diagnose. | pernicous anemia |
| all inherited forms of sickle cell anemia would include . | G-6-PD deficiency, thalassemia, and sickle cell anemia |
| a nurse expects an adult pt. with sickle cell anemia to have anemia to have a hemoglobin value of | 7-10 |
| sickle shaped erythrocytes cause. | cellular blockage in small vessels, decrease organ perfusion, tissue ischemia and infarction |
| a person with sickle cell trait would. | have chronic anemia |
| polycythemia ver is charactorized by bone marrow overactivity, resulting in the clinical manifestation of | angina, claudication, thrombophlebitis |
| a pt. diagnosed with neutorpenia resulting from increased destruction of neutorphils would most likely have. | leukemia |
| the common feature of the leukemia is. | an unregulated accumulation of white cells in the bone marrow, which replace normal marrow elements |
| nursing assessment for a pt. with leukemia should include observation for . | fever and infection, dehydration, petechiae and ecchymoses |
| the major cause of death in pt. with acute myeloid leukemia is believed to be. | infection |
| multiple myeloma. | can be diagnosed by rroentgenograms tha show bone lesion destruction, is a malignant disease of plasma cells that affect the bone and soft tissue, and is suspected in any person who evidences of albuminuria. |
| the classic presenting symptom of multiple myeloma is | bone pain in the back of the ribs |
| a pt. is admitted with essential thrombocytopenia due to decrease platelets production. the nurse know that the diagnosis is most likely to. | disseminated intravascular coagulation (DIC) |
| in the normal blood clotting cycle, the final formation of a clot will occur. | when the fibrin reinforces the platelet plug |
| bleeding and petechiae dont usually occur with thrombocytopenia until the platelet count falls below 50,000 the normal value of blood platelet is. | between 150,000-350,000 |
| hemophilia is a hereditary bleeding disorder that. | has a higher incidence in males, is associated with joint bleeding, swelling, and damage, and is related to a genetic deficiency of a specific blood clotting factors. |
| hypopropthrombinemia , in the absence of GI or biliary dysfunction, may be caused by a deficiency of what vit. | K |
| a potential blood donor would be rejected if he or she. | had close contact with a hemodialysis pt. within the last 6 mos. |
| the recommended minimum hemoglobin level for women to donate blood is. | 12.5 |
| the volume of blood in human body is. | 5-6 liters |
| blood cell formation (hematopoiesis) occurs in the. | bone marrow |
Created by:
vcspeer