Chap 32 Prep U

In normal blood, monocytes account for approximately what percentage of the total leukocyte count?

5%

Which is the major function of neutrophils

phagocytosis

A pt receiving a blood transfusion reports 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 health care provider?

Ensure there is an O2 delivery device at the bedside

The nurse recognizes that the most common cause of iron deficiency anemia in an adult is

bleeding

A nursing instructor in a BSN program is preparing for a lecture on disorders of the hematopoietic system. Included in the lecture are conditions caused by reduced levels or absence of blood-clotting proteins. Which of the following is the instructor most likely referring to?

coagulopahy Rationale: coagulopathy refers to conditions in which a component that is necessary to control bleeding is missing or inadequate

The nurse should be alert to which adverse assessment finding when transfusing a unit of packed red blood cells (PRBCs) too rapidly?

crackles auscultated bilaterally

The charge nurse should intervene when observing a new nurse perform which action after a client has suffered a possible hemolytic blood transfusion reaction?

disposing of the blood container and tubing in biohazard waste

A client complains of extreme fatigue. Which system should the nurse suspect is most likely affected?

hematological

The nurse is preparing a patient for a bone marrow aspiration and biopsy from the site of the posterior superior iliac crest. What position will the nurse place the patient in?

lateral position withe one leg flexed

What food should the nurse recommend for a client diagnosed with Vitamin B12 deficiency?

lean meat

Which blood cell type is matched correctly with its function?

leukocyte: fights infection

The client's CBC with differential reveals small-shaped hemoglobin molecules. The nurse expects to administer which medication to this client?

Iron

The body responds to infection by increasing the production of white blood cells (WBCs). The nurse should evaluate the differential count for what type of WBCs, which are the first WBCs to respond to an inflammatory event?

neutrophils

A client is in the hospital with a bleeding gastric ulcer and requires a blood transfusion. He has been typed and crossmatched for 2 units of packed red blood cells and found to have type O blood. What type of blood will the nurse administer to this client

type O

The physician orders a transfusion with packed red blood cells (RBCs) for a client hospitalized with severe iron deficiency anemia. When blood is administered, what is the most important action the nurse can take to prevent a transfusion reaction?

verify the client's identity according to hospital policy

A client who has idiopathic thrombocytopenia purpura (ITP) has a critically low platelet count. Which nursing intervention will be included in the care plan for this client?

Administer eltrombopag

A nurse is assigned to care for a patient with ascites, secondary to cirrhosis. The nurse understands that the fluid accumulation in the peritoneal cavity results from a combination of factors including an alteration in oncotic pressure gradients and increased capillary permeability. Therefore, the nurse monitors the serum level of the plasma protein responsible for maintaining oncotic pressure, which is:

Albumin

The nurse is providing health education to an older adult client who has low red blood cell levels. To promote red blood cell production, the nurse should encourage intake of what foods? Select all that apply.

* lean meats * leafy green vegetables * nuts and seeds

Place the following steps in order when determining the type and severity of a transfusion reaction. Use all options.

1. stop the transfusion 2. asses the pt 3. notify the health care provider 4. notify the blood bank 5. send the tubing and container to the blood bank

The nurse begins a routine blood transfusion of packed red blood cells at 11:00 to ensure pt safety the unit of blood should be completely transfused by what time?

1500

A nurse is performing an initial assessment and notes the client's skin is a gray-tan color, especially on the scars of the client's arms. Which hematological condition does the nurse suspect?

Hemochromatosis

A patient who has long-term packed RBC (PRBC) transfusions has developed symptoms of iron toxicity that affect liver function. What immediate treatment should the nurse anticipate preparing the patient for that can help prevent organ damage?

Iron chelation therapy

A pt reports feeling faint after donating blood. What is the nurse's best action

Keep client in recumbent position to rest

A nurse, caring for a client with human immunodeficiency virus (HIV), reviews the client's differential WBC count. What type of WBC will the nurse check the level of?

T lymphocytes

A client with Hodgkin disease had a bone marrow biopsy yesterday and reports aching at the biopsy site, rated a 5 (on a 1-10 scale). After assessing the biopsy site, which nursing intervention is most appropriate?

administer acetaminophen 500 mg as ordered

The nurse is obtaining the health history of a client suspected of having a hematological condition. The nurse notes the client has a history of alcohol abuse. Which clinical presentation is related to alcohol consumption?

anemia

Which of the following cells are capable of differentiating into plasma cells?

b lymphocytes

During a blood transfusion with packed red blood cells (RBCs), a client reports chills, low back pain, and nausea. What priority action should the nurse take?

d/c the infusion immediately and maintain the IV line w/ NS using new IV tubing

Which cell of hematopoiesis is responsible for the production of red blood cells (RBCs) and platelets?

myeloid stem cell Rationale: myeloid stem cells are responsible not only for all nonlymphoid WBC for the production of red bloods and platelets