Chapter 32: ASSESSMENT OF HEMATOLOGIC FXN & TREATMENT MODALITIES QUESTIONS AND ALL CORRECT ANSWERS.
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Course
Hematopoietic system
Institution
Hematopoietic System
A nursing instructor is reviewing the role and function of stem cells in the bone marrow with a group of nursing students. After providing the explanation, the instructor asks the students to use their knowledge of anatomy and physiology to determine an alternate way in which adults with diseases t...
Chapter 32: ASSESSMENT OF
HEMATOLOGIC FXN & TREATMENT
MODALITIES QUESTIONS AND ALL
CORRECT ANSWERS.
A nursing instructor is reviewing the role and function of stem cells in the bone marrow with a group of
nursing students. After providing the explanation, the instructor asks the students to use their
knowledge of anatomy and physiology to determine an alternate way in which adults with diseases that
destroy marrow can resume production of blood cells. Which explanation by the students is correct? -
Answer THE LIVER & SPLEEN CAN RESUME PRODUCTION OF BLOOD CELLS THROUGH
EXTRAMEDULLARY
Which term refers to a form of white blood cell involved in immune response? - Answer LYMPHOCYTE
Which cell of hematopoiesis is responsible for the production of RBCs and platelets? - Answer MYELOID
STEM CELL
A client receiving a blood transfusion complains of shortness of breath, appears anxious, and has a pulse
of 125 beats/minute. What is the best action for the nurse to take after stopping the transfusion and
awaiting further instruction from the healthcare provider? - Answer ENSURE THERE IS AN OXYGEN
DELIVERY DEVICE AT THE BEDSIDE
A patient with chronic kidney disease has a chronic anemia. What pharmacologic alternative to blood
transfusion may be used for this patient? - Answer ERYTHROPOIETIN (EPOGEN)
A client is a young, thin woman who is prescribed iron dextran intramuscularly. The nurse, when
administering the medication: - Answer EMPLOYS THE Z-TRACK TECHNIQUE
The client is to receive a unit of packed red blood cells. The first intervention of the nurse is to - Answer
VERIFY THAT THE CLIENT HAS SIGNED A WRITTEN CONSENT FORM
, Albumin is important for the maintenance of fluid balance within the vascular system. Albumin is
produced by which of the following? - Answer LIVER
A nurse is completing a detailed health history and assessment in teh electronic medical record (EMR)
for a client with a disorder of the hematopoietic system. Which symptom is the most commonly
reported in association with hematologic diseases? - Answer EXTREME FATIGUE
What is a symptom of severe thrombocytopenia? - Answer PETECHIAE!!!
A client with hodgkin disease had a bone marrow biopsy yesterday and reports aching at the biopsy site,
rated a 5 (on a scale of 1-10). After assessing the biopsy site, which nursing intervention is most
appropriate? - Answer ADMINISTER ACETAMINOPHEN 500MG PO, AS ORDERED
The physician performs a bone marrow biopsy from the posterior iliac crest on a client with
pancytopenia. What intervention should the nurse perform after the procedure? - Answer APPLY
PRESSURE OVER THE SITE FOR 5-7 MINUTES
A client with a history of congestive heart failure has an order to receive 1 unit of packed red blood cells
(RBCs). If the nurse hangs the blood at 12:00 pm, by what time must the infusion be completed? -
Answer 4:00PM
A client tells the nurse that he would like to donate blood before his abdominal surgery next week. What
should be the nurse's first action? - Answer EXPLAIN THE TIME FRAME NEEDED FOR AUTOLOGOUS
DONATION
The nurse is caring for a client who had undergone hemodilution during surgery. Immediately after
surgery, the nurse expects to see which lab result? - Answer DECREASED HEMATOCRIT
A client in acute renal failure has been prescribed 2 units of packed red blood cells (PRBCs). The nurse
explains to the client that the blood transfusion is most likely needed for which of the following reasons?
- Answer LACK OF ERYTHROPOIETIN
The nurse expects which assessment finding when caring for a client with a decreased hemoglobin level?
- Answer DECREASED O2 LEVELS
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