Chapter 11 Prep U Questions
A client 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. What is the most likely cause of the symptoms? A. Allergic reaction B. Viral infection C. Bacterial infection D. Fungal infection
A
A client diagnosed with systemic lupus erythematosus (SLE) has been experiencing a low neutrophil count. How would this type of neutropenia be classified? A. Acquired, autoimmune secondary neutropenia B. Acquired, drug-related neutropenia C. Congenital, cyclic neutropenia D. Congenital, alloimmune neonatal neutropenia
A
A client is admitted with a suspected diagnosis of Hodgkin lymphoma (HL). Which diagnostic test would the nurse look for to confirm the diagnosis? A. Presence of Reed-Sternberg cells B. H. pylori infection C. Epstein-Barr virus D. Positive Bence Jones proteins
A
A client's laboratory report shows the presence of the Philadelphia chromosome. Which diagnosis should the nurse suspect the client has developed? A. Chronic myelogenous leukemia (CML) B. Hairy cell leukemia C. Non-Hodgkin lymphoma D. Chronic lymphocytic leukemia (CLL)
A
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
A teenage client has been diagnosed with infectious mononucleosis and asks the health care provider what caused the condition. Which response is most accurate for the nurse to share with this client? A. Epstein-Barr virus (EBV) B. Human immunodeficiency virus (HIV) C. Abnormal cell nucleus development D. Non-Hodgkin lymphoma
A
Following a bone marrow biopsy, which assessment would indicate the client is experiencing a complication as a result of this diagnostic procedure? A. BP 90/60, heart rate 132, excess bleeding, and hematoma noted at insertion site. B. BP 130/80, oxygen saturation 95%, crackles heard on inspiration. C. Respiratory rate 24, complaining of pain at insertion site. D. Heart rate regular 64 bpm, temperature 99.6°F (37.5°C) orally.
A
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
The nurse caring for a client in the early stage of multiple myeloma would anticipate the client to report which symptom? A. Bone pain B. Pathologic fractures C. Hypercalcemia D. Kidney failure
A
The nurse is caring for a client who has a low level of T lymphocytes. The nurse plans care for a client with: A. Decreased immune response B. Decreased hematocrit C. Anemia D. Infection
A
When collecting a client's history the client states that he is receiving treatment to maintain remission from leukemia. What does the nurse document that the client is receiving? A. Maintenance therapy B. Induction therapy C.Intensification therapy D. Lysis therapy
A
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 4 days he has "just not felt well." The nurse anticipates orders to include which of the following? A. Intravenous antibiotics B. Chest X-ray C. White blood cell count D. CT scan
C
The nurse's plan of care for a client with multiple myeloma should include interventions to prevent: A. GI bleed B. Urinary tract infections C. Fractures D. Diarrhea
C
The pathologist notes that the client has Reed-Sternberg cells. He knows that these cells are a diagnostic hallmark for which disorder? A. Burkitt lymphoma B. Non-Hodgkin lymphoma C. Hodgkin lymphoma D. Follicular lymphoma
C
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. Neutropenia B. Hodgkin disease C.Non-Hodgkin disease D. Leukemia
D
The nurse is conducting education for a client who is scheduled to undergo diagnostic testing for non-Hodgkin lymphoma (NHL). The nurse includes information on: A. Diagnostic X-ray B. White blood cell counts C. Blood cultures D. Lymph node biopsy
D
Which colony-stimulating factor (CSF) is given to clients with end-stage renal disease to help with chronic anemia? A. Interleukin B. Thrombopoietin (TPO) C. Filgrastim D. Erythropoietin (EPO)
D
A client who has received chemotherapy has a steadily decreasing white blood cell count. To increase the neutrophil count, the nurse anticipates administering: A. Erythropoietin B. Granulocyte colony-stimulating factor C. Thrombopoietin D. Macrophage colony-stimulating factor
B
The nurse is reviewing the client's laboratory report. Select the report that represents a normal value for leukocytes. A. 2000 cells/mL (2.0 ×109/L) B. 6500 cells/mL (6.5 ×109/L) C. 12,000 cells/mL (12.0 ×109/L) D. 13,500 cells/mL (13.5 ×109/L)
B
The physician reviews a client's lab results and notes that the neutrophil count is 900/μL (0.90 x 109/L). This is known as: A. Leukopenia B. Neutropenia C. Agranulocytosis D. Aplastic anemia
B
When a white blood cell with differential count reveals an acute infection, which statement is correct regarding the client's neutrophils? A. There are fewer neutrophils in the blood than other white blood cells. B. Neutrophils are the first white blood cell to elevate in an acute infection. C. Neutrophils are not present during an acute infection that produces fever. D. Neutrophils are only responsive in an allergic or parasitic infection.
B
Which client has an absolute neutrophil count (ANC) that is critically low and the standard of care would recommend placement on neutropenic precautions? A. Client on long-term steroids for rheumatoid arthritis with WBC of 7000/µL (7 x 109/L). B. 37-year-old client with leukemia being treated with chemotherapy with ANC of 400 (0.40 x 109/L). C. 65-year-old client with prostate cancer receiving radiation therapy with neutrophil count of 2,000/μL (2.0 x 109/L). D. 75-year-old client with renal failure receiving epogen for anemia with hemoglobin level of 9.7 g/dL (97 g/L).
B
Which statement best conveys a characteristic of red blood cells? A.They lack organelles and soluble enzymes. B. They contribute to the maintenance of blood pH. C. They help maintain the body's fluid balance. D. They are self-replicating.
B
Which type of macrophages are found in the liver? A. Histiocytes B. Kupffer cells C. Microglial cells D. Monocytes
B
