Patho

Select the option that best describes the production of T lymphocytes.

Bone marrow - thymus - lymph nodes

The nurse reading client's history and physical notes that the client has a history of leukopenia. The nurse interprets this to mean that the client has which of the following?

Decreased leukocytes

A nurse is evaluating laboratory results of a patient diagnosed with a parasitic infection. The tests reveal a large group of cells that are membrane bound with granules in their cytoplasm that are aiding in the destruction of the parasite. Which of the following cells is the nurse evaluating?

Eosinophil

The nurse notes that the client has a decreased neutrophil count. The nurse recognizes that the client is at risk for which of the following?

Infection

A client's bone marrow study report reveals the findings of blast cells in the bone marrow. What does the nurse interpret this as indicating?

Luekemia

The client has a disorder that decreases stem cell production. When evaluating the client's blood work, the nurse anticipates a decrease in which of the following?

White blood cells

A client with acute leukemia has developed gout. The nurse is aware that this results from:

Hyperuricemia

Which of the following is the main job of lymphocytes?

Immune reaction

A patient is admitted to the emergency department with a diagnosis of polycythemia. The nurse plans to assess for symptoms related to which of the following problems?

Increased blood viscosity

A nurse is reviewing the laboratory data for hospitalized client. The nurse would be most concerned about which finding?

White blood cell (WBC) count of 2800/ul

A mother brings her child to the pediatric clinic because of irritability, loss of appetite, low-grade fever, pallor, and leg pain. Blood tests reveal anemia, thrombocytopenia, and an elevated leukocyte count with atypical lymphocytes. A diagnosis of acute lymphocytic leukemia (ALL) is confirmed with bone marrow studies. The child undergoes aggressive high-dose chemotherapy with plans for a possible stem cell transplant. Which of the following questions is most appropriate for the nurse to ask the mother?

"When your child was born, did you save the umbilical cord blood in a blood bank?"

The nurse is reviewing the client's laboratory report. Select the report that represents a normal value for leukocytes.

6500 cells/ml

The nurse is caring for a client with chronic myelogenous leukemia (CML)and notes that the client has splenomegaly, and an increased basophil count as well as night sweats, bone pain, and a low grade fever. The nurse interprets the symptoms as indicating that the client is in which phase of the clinical course of CML?

Accelerated

32-year-old woman presents at her neighborhood health clinic complaining of weakness and a feeling of abdominal fullness. She reports that 6 months earlier she noticed that she had difficulty maintaining the high level of energy she has relied on during her aerobic workouts over the past few years. Because she felt that she was in overall good health, but knew that women often need additional iron, she added a multiple vitamin with iron and some meat and leafy greens to her diet. She followed her plan carefully but had no increase in energy. Upon examination her spleen is noted to be enlarged. Which of the following is most likely to be the cause?

Accelerated CML

The nursing caring for a 62-year-old client with diffuse large B-cell lymphoma plans care based on the knowledge that this client's lymphoma is:

Aggressive

A patient comes to the clinic with a runny nose and scratchy throat. The nurse is evaluating the white blood cell count, which shows an elevated number of white blood cells and an increased percentage eosinophils. Which of the following is the most likely cause of the symptoms?

Allergic reaction

The cloning of the genes for most of the hematopoietic growth factors has been accomplished. The recombinant proteins that are produced are used in a wide range of clinical problems. What diseases have these proteins been used to fight?

Aplastic anemia and the anemia of kidney failure

Which of the following statements most accurately conveys an aspect of lymphatic system activity?

B and T lymphocyte development begins in the bone marrow and ends in the peripheral lymphoid structures

Which of the following types of white blood cells are related to the connective tissue mast cells and respond in allergic and hypersensitivity reactions?

Basophils

Which of the following is the first symptom of multiple myeloma that a patient typically presents with on a visit to the primary care provider?

Bone pain

The nurse is planning a prevention program for infectious mononucleosis. The best target audience for the program is which of the following?

College students living in a dorm

To have stem cells for transplantation, clients are given specific agents to increase the quantity and migration of the cells from the bone marrow. What is the agent used to accomplish this?

Cytokine growth factor

The nurse is caring for a client who has a low levels of T lymphocytes. The nurse plans care for a client with which of the following?

Decreased immune response

A nurse is caring for a newborn developed a low platelet count. Which of the following could be the cause?

Decreased thrombopoietin (TPO)

Infectious mononucleosis is a lymphoproliferative disorder caused by the Epstein-Barr virus (EBV) that is usually self- limiting and nonlethal. Which of the following complications can arise during this mostly benign disease?

Enlarged spleen

Which of the following colony-stimulating factors (CSFS) is given to ESRD patients to help with their chronic anemia?

Erythropoietin (EPO

The nurse's plan of care for client with multiple myeloma should include interventions to prevent which of the following?

Fractures

patient being treated for polymyalgia rheumatica (PMR) comes to the clinic for a follow-up visit. The current erythrocyte sedimentation rate (ESR) rate has decreased from 60 mm/hour to 30 mm/hour and the patient is afebrile, denies any headaches, and reports a decrease in joint pain and fatigue. Based on these findings, the nurse anticipates which of the following changes to the treatment plan?

Gradually decrease the current dosage of prednisone and repeat ESR in 2 weeks.

Which of the following should the nurse include in the discharge teaching plan for a client with Felty syndrome?

Handwashing

A 44 year-old male hospital client with a diagnosis of end-stage acquired immunodeficiency syndrome (AIDS) has been placed on neutropenic precautions that limit his interaction with visitors, staff and other clients. What is the underlying rationale for these precautions?

Insufficient levels of neutrophils make him particularly susceptible to infections

Which type of macrophages are found in the liver?

Kupffer cells

The nurse is conducting patient education for a client who is scheduled to undergo diagnostic testing for non-Hodgkin's lymphoma (NHL). The nurse includes information on which of the following?

Lymph node biopsy

When collecting a client's history the client states that he is receiving treatment to maintain remission from lcukemia. What does the nurse document that the client is receiving?

Maintenance therapy

A nurse sends a blood sample to the lab for analysis. Assuming the sample is normal, the nurse anticipates which of the following white blood cells (WBCS) will account for the highest percentage?

Neutrophils

Following an injury resulting in a small cut from a knife, the first cells to go to the area of the cut would be the:

Neutrophils

A patient is admitted to the hospital with an elevated temperature and flank pain. When reviewing the complete blood count (CBC), which of the following levels is the most important for the nurse to communicate to the health care provider?

Neutrophils 85%

A nurse is reviewing a client's complete blood count (CBC) which indicates thrombocytopenia. Based on this result which action should the nurse include in the plan of care?

Place the client on bleeding precautions.

When looking at a granulocyte under a microscope, the anatomy student would describe it as:

Shaped like a sphere with multi-lobar nuclei

A client laboratory report indicates neutropenia. The nurse is aware the client is at greatest risk for development of infection. The most important area for the nurse to assess would be:

Skin

A client's history and physical documents the presence of an indolent lymphoma. The nurse plans care for which of the following types of lymphoma?

Slow-growing

A patient is diagnosed with acute leukemia. Which of the following treatment therapies can be used to correct bone marrow failure and treat malignancies?

Stem cell transplant

A geriatrician is following a number of clients on a subacute geriatric medical unit, some of whom require diagnostic blood work. Which of the following clients would be most likely to have an erythrocyte sedimentation rate (ESR) screening test ordered? An adult with:

Systemic lupus erythematosus

Drug-induced neutropenia is a disease that has significantly increased in incidence over the last several decades. What is the attributing factor in the increased incidence of drug-induced neutropenia?

Treatment of cancer by chemotherapeutic drugs

The nurse is providing a client with education taking the medication clozapine. The nurse includes the importance of which of the following?

Weekly bloodwork

A high school teenager comes to the emergency room with symptoms that include the abrupt onset of severe pharyngitis and a high fever. The teenager reports that in the previous four days he has "just not felt well." The nurse anticipates orders to include which of the following?

White blood cell count

The nurse is reviewing the complete blood count (CBC) and white blood cell (WBC) differential of a client admitted with lower right abdominal pain. Which laboratory results are the most important for the nurse to communicate to the health care provider?

White blood cells (WBCS) 18,500/ul

A 20-year-old client has presented for care because she has a cervical lymph node on the right side of her neck that is firm and enlarged, and has been so for several weeks. Palpation of the node is painless. The nurse should document this assessment finding and anticipate:

facilitating the client's lymph node biopsy.

The nurse is admitting a client who is documented to be in the terminal blast crisis phase of chronic myelogenous leukemia (CML). The nurse interprets this to mean that:

the CML has evolved to acute leukemia

A client who is being treated for small cell lung cancer has been placed in protective isolation due to neutropenia. The most likely cause of this client's neutropenia is:

the effects of chemotherapy on white blood cell development