CH 11 Patho questions
Which of the following types of white blood cells are related to the connective tissue mast cells and respond in allergic and hypersensitivity reactions? a) Basophils b) B lymphocytes c) Neutrophils d) Granulocytes
a) Basophils
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? a) Place the client on bleeding precautions. b) Encourage increased oral fluids. c) Place the client on contact isolation. d) Increase intake of iron-rich foods.
a) Place the client on bleeding precautions.
When talking about the various types of granulocytes, which granule contains heparin, an anticoagulant? a) Neutrophils. b) Eosinophils. c) Basophils. d) Lymphocytes.
c) Basophils.
Which types of leukemias originate from the B cells? Select all that apply. a) Acute lymphocytic leukemia b) Acute myelogenous leukemia c) Chronic lymphocytic leukemia d) Chronic myelogenous leukemia
a) Acute lymphocytic leukemia c) Chronic lymphocytic leukemia
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 of eosinophils. Which of the following is the most likely cause of the symptoms? a) Allergic reaction b) Viral infection c) Bacterial infection d) Fungal infection
a) Allergic reaction
The nurse's plan of care for a client with multiple myeloma should include interventions to prevent which of the following? a) Fractures b) Urinary tract infections c) Diarhhea d) GI bleed
a) Fractures
A lymph node biopsy pathology report notes the presence of Reed-Sternberg cells on a patient suspected of having a lymphoma. The nurse interprets the report as indicating which of the following? a) Hodgkin's lymphoma b) Non-Hodgkin's lymphoma c) Multiple myeloma d) Leukemia
a) Hodgkin's lymphoma
A client with acute leukemia has developed gout. The nurse is aware that this results from: a) Hyperuricemia b) Diet c) Alcohol d) Anorexia
a) Hyperuricemia
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? a) Luekemia b) Hodgkin's disease c) Non-Hodgkin's disease d) Neutropenia
a) Leukemia
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? a) Neutrophils 85% b) Hemoglobin 12.6 g/dL c) Monocytes 3% d) Platelets 150,000/mL
a) Neutrophils 85%
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: a) Neutrophils. b) Erythrocytes. c) Albumin. d) Basophils.
a) Neutrophils.
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: a) aggressive. b) indolent. c) encapsulated. d) rare.
a) aggressive
The nurse is reviewing the client's laboratory report. Select the report that represents a normal value for leukocytes. a) 2000 cells/mL b) 6500 cells/mL c) 12,000 cells/mL d) 13,500 cells/mL
b) 6,500 cells/mL
The nurse is reviewing the client's laboratory report. Select the report that represents a normal value for leukocytes. a) 2000 cells/mL b) 6500 cells/mL c) 12,000 cells/mL d) 13,500 cells/mL
b) 6500 cells/mL
The physician reviews a client's lab results and notes that the neutrophil count is 900/uL. This is known as which of the following? a) Leukopenia b) Neutropenia c) Agranulocytosis d) Aplastic anemia
b) Neutropenia
Following a bone marrow biopsy, which of the following assessments would indicate the patient is experiencing a complication as a result of this diagnostic procedure? a) Respiratory rate 24, complaining of pain at insertion site. b) Heart rate regular 64 bpm, Temperature 99.6 orally. c) BP 90/60, heart rate 132, excess bleeding and hematoma noted at insertion site. d) BP 130/80, oxygen saturation 95%, crackles heard on inspiration.
c) BP 90/60, heart rate 132, excess bleeding and hematoma noted at insertion site
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? a) Increased risk of infection b) Inability to form blood clots c) Increased blood viscosity d) Decreased ability to carry oxygen to the cells
c) Increased blood viscosity
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: a) the need for watchful waiting and close monitoring of the node over the following weeks. b) preparing the client for a bone marrow transplant (BMT). c) facilitating the client's lymph node biopsy. d) preparing the client for the induction phase of treatment.
c) facilitating the client's lymph node biopsy
When looking at a granulocyte under a microscope, the anatomy student would describe it as: a) Having no nuclei. b) Having a kidney-shaped nucleus. c) Lacking granules. d) Shaped like a sphere with multi-lobar nuclei.
d) Shaped like a sphere with multi-lobar nuclei.
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? a) Monocytes 4% b) Basophils 2/µL c) Platelet count 168,000/µL d) White blood cells (WBCs) 18,500/µL
d) White blood cells (WBCs) 18,500/µL