NURS 232 2023/2024 EXAM WITH 107 NEWEST UPDATED QUESTIONS
AND ANSWERS 2024
1. organ responsible for filtration of the blood, breaks down hemoglobin, removes old
WBCs and stores RBCs and platelets: Spleen
2. organ that is the primary site for production of clotting factors. It uses vitamin K
to produce prothrombin and some factors: Liver
3. leukocytes: white blood cells
4. eosinophils: Type of WBC
Become active in certain allergic diseases/reactions, parasitic infections & medical
conditions like asthma & collagen vascular disease 5. monocytes: Type of WBC:
Turn into macrophages & immune helper cells
Migrate into tissues for phagocytosis
6. basophils: Type of WBC
-Appear in specific inflammatory reactions
-Contain heparin & histamine, which promotes blood flow
-Play role in parasitic infections, allergies & mediating immune system (such as B
lymphocytes)
7. Neutrophils: Most abundant WBC
-Immature neutrophil called band
-Front line defense against pathogens, especially bacterial infections; recruited within
minutes of acute inflammation from position along margin of blood vessels
-Phagocytosis action against pathogens
-Release cytokines to stimulate inflammatory response
,8. Lymphocytes: WBCs
Three types: Natural Killer (NK) cells, T cells & B cells
-Major component of adaptive immune response
--T cells associated with cell mediated immunity
--B cells associated with humoral mediated immunity
-Recognize antigens & generate specific responses; contain toxic granules of enzymes
that digest pathogens (viral & bacterial) -Stimulate production of antibodies from
memory cells
9. Anemias: -The most common hematologic disorder of childhood
-Decrease in number of RBCs and/or hemoglobin concentration below normal
-Increased destruction or decreased production of the RBCs
-Decreased oxygen-carrying capacity of blood
10. Effects of Anemia: -Hemodilution
-Decreased peripheral resistance
-Increased cardiac circulation and turbulence
--May have murmur
--May lead to cardiac failure
-Cyanosis
-Growth retardation
11. Iron Deficiency Anemia: -caused by inadequate iron intake or excessive loss of iron
-generally preventable
--iron-fortified cereals for infants
--special needs of premature infants
, S&S: pale skin, fatigue, pica, HA, dizziness, irritability, slowed thought processes, dec
attention span, apathy, and depression.
12. who is at highest risk for iron deficiency anemia: toddlers and adolescents
(6 mo - 2 years? dairy milk)
13. what foods are high in iron: Meats, seafood, eggs, legumes, whole grains, green
leafy vegetables, and dried fruits
14. Sickle Cell Anemia is what type of genetic disease?: autosomal recessive 15.
Sickle Cell Pain: pain is most common problem;
crisis is result of tissue injury caused by poor oxygenation from obstructed blood flow;
16. what does a shortened life span of sickle cell RBC leads to: -low hemoglobin with
associated symptoms of anemia
-high reticulocyte count
-elevated bilirubin and jaundice related to breakdown of large number of RBCs
17. What are the Triggers for sickle cell crisis: Infection
Illness
Acidosis
Stress
Dehydration
Hormonal Changes
18. what is the stroke risk for Sickle cell anemia: -5% chance
-75% chance for a second one
19. Life Span of normal RBC vs SC RBC: normal: 90-120 days
SC: 10-20 days
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