Assessment Of The Hematopoietic System

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Question 1
Free
Multiple Choice

In evaluating a young woman, the following laboratory result the nurse recognizes as abnormal is

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A

hemoglobin 13 g/dl.

B

platelet count 20,000/mm3.

C

red blood cell count 5 million/mm3.

D

white blood cell count 6000/mm3.

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Question 2
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Multiple Choice

The nurse should anticipate an elevated hemoglobin level in a

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A

40-year-old woman with congestive heart failure.

B

client who lives in Colorado.

C

client with iron deficiency anemia.

D

dehydrated elderly client being given IV fluids.

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Question 3
Free
Multiple Choice

A client has a hematocrit (Hct) of 30%. The nurse interprets this to mean

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A

30% of the blood will be plasma and plasma products.

B

bleeding disorders are possible.

C

the blood is viscous and concentrated.

D

the individual has fewer red blood cells than normal.

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Question 4
Free
Multiple Choice

A nurse is explaining the purpose of a bone marrow biopsy (BMB) to a client. The information the nurse provides is that a bone marrow biopsy is done to evaluate

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A

blood dyscrasias such as aplastic anemia or leukemia.

B

hemoglobin and hematocrit production.

C

specific parts of the white cell differentiation.

D

total numbers and types of different lymphocytes.

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Question 5
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Multiple Choice

The nurse notes that a client has a higher than normal reticulocyte count. This would indicate

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A

bone marrow depression.

B

dehydration.

C

increased erythrocyte production.

D

polycythemia vera.

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Question 6
Multiple Choice

The laboratory test result that would be most helpful to the nurse in the assessment of a client with a bleeding disorder is

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A
differential count.
B
hematocrit.
C
platelet count.
D
RBC count.
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Question 7
Multiple Choice

A client has severe anemia and is being treated with transfusion therapy. The nurse should be alert for a complication of transfusion, such as

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A
flank pain.
B
hearing loss.
C
liver damage.
D
sore throat.
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Question 8
Multiple Choice

The manifestation the nurse would question the client about that is characteristically associated with anemia is

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A
fatigue.
B
pruritus.
C
rash.
D
ruddy skin color.
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Question 9
Multiple Choice

The nurse assesses the client who underwent partial removal of the stomach a year ago for the manifestations of

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A
anemia.
B
high white blood cell count.
C
low platelet count.
D
shortened bleeding times.
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Question 10
Multiple Choice

Several employees report allergic manifestations. The occupational health nurse would focus an investigation on the workplace's

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A
food service vendor.
B
heating and cooling systems.
C
lighting.
D
water supply.
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Question 11
Multiple Choice

The nurse reads that an assigned client has an immunodeficiency. The nurse reads further in the medical record, anticipating that the client also most likely has a history of

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A
conjunctivitis.
B
severe headaches.
C
skin eruptions.
D
unexplained weight loss.
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Question 12
Multiple Choice

The nurse is monitoring the laboratory test results for a client receiving anticoagulation therapy. The nurse is aware that the International Normalized Ratio (INR) for most clinical conditions requiring anticoagulation is

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A
less than 1.
B
1 to 2.
C
2 to 3.5.
D
3 to 5.5.
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Question 13
Multiple Choice

The nurse discovers a client is taking the herb St. John's wort. The nurse cautions that this herb reduces the effectiveness of

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A
lanoxin.
B
prednisone.
C
theophylline.
D
warfarin.
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Question 14
Multiple Choice

A client presents to the ambulatory care center seeking treatment for allergies. When questioning the client, the nurse would inquire about (Select all that apply)

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A
a history of desensitization shots and their effectiveness.
B
presence of fatigue, headaches, or weakness.
C
previous anaphylactic reactions to food.
D
seasonal variation in manifestations.
E
triggers known to cause manifestations.
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