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AHN 447 Exam 5 (Hematology & HIV/AIDS) Questions & Answers
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AHN 447 Exam 5 (Hematology & HIV/AIDS) Questions & Answers
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AHN 447 Exam 5 (Hematology &HIV/AIDS) Questions & Answers
What are the 3 major factors of polycythemia vera? Correct Ans-- excessive production of
RBC's
- excessive leukocyte production
- excessive production of platelets
cancer of the RBC'S Correct Ans-polycythemia vera
What is the treatment for polycythemia vera? Correct Ans-- phlebotomy 2-5x/wk (apheresis:
remove RBC's, return plasma)
- hydration (at least 3 L a day), anticoagulants
What should you teach your pt with polycythemia vera? Correct Ans-- wear support hose or
stockings while awake
- keep extremities warm
- elevate feet while seated
- use an electric razor (no blades)
- soft bristled toothbrush, no flossing
circulating mature neutrophils to decrease in number, and less mature "bands" become more
numerous (indicative of severe infection) Correct Ans-left shift
How much of the total WBC do neutrophils make up? Correct Ans-55-70%
Interpret the levels of ANC. Correct Ans-ANC of 1000-1800: Low risk of infection
ANC of 500-1000: Mild to moderate risk of infection
, ANC < 500: severe/lethal; neutropenic, high risk of infection
Which leukemia is most commonly adult onset? Correct Ans-acute myelogenous leukemia
(AML)
Which leukemia is most common in children? Correct Ans-acute lymphocytic leukemia
normal flora overgrows and penetrates the internal environment Correct Ans-auto
contamination
organisms from another person or environment are transmitted to the patient Correct Ans-
cross contamination
What should you monitor daily in a pt with leukemia? Correct Ans-CBC w/ differential WBC
count and ANC
What is the biggest difference between Hodgkin's and Non-Hodgkin's Lymphoma? Correct
Ans-Hodgkin's Lymphoma has the marker, Reed Sternberg Cells and Non-Hodgkin's Lymphoma
doesn't.
What is the hallmark manifestation of Multiple Myeloma? Correct Ans-bone pain with
pathological fractures
platelet destruction greater than platelet production Correct Ans-ITP (Idiopathic
Thrombocytopenic Purpura)
What are the clinical manifestations of ITP? Correct Ans-- ecchymosis
- petechial rash
- anemia
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