missed questions PrepU: Hematologic Function and

A, B, C, D

A client with acute myeloid leukemia (AML) is scheduled to begin induction therapy. Which treatments will the nurse expect to be prescribed to prevent life-threatening effects of this therapy? Select all that apply. A. Platelets B. Antibiotics C. Packed red blood cells D. Granulocytic growth factors E. Hematopoietic stem cell transplant

A Yellow marrow consists primarily of fat cells and connective tissue. It does not participate in the manufacture of blood cells.

Bone marrow is soft tissue within specific bones which manufactures blood cells; that is, maintains a role in hematopoiesis. There are several structures in the hematopoietic and lymphatic systems that contribute to the manufacture of blood cells. Which structure does not participate in blood cell production? A. yellow bone marrow B. red bone marrow C. lymphoid tissue D. pluripotential stem cells

A Osteoclasts are cells that break down and remove bone cells, which results in increased blood calcium and pathologic fractures.

Clients with multiple myeloma have abnormal plasma cells that proliferate in the bone marrow where they release osteoclast-activating factor, resulting in the formation of osteoclasts. What is the most common complication of the pathology resulting from this process? A. Pathologic fractures B. Osteoporosis C. Calcified bones D. Increased mobility

b Any older adult with unprovoked or unexplained back pain and increased protein in the serum should be assessed for multiple myeloma. Bone pain occurs because of bone breakdown and the malignant cells of multiple myeloma increase the serum protein levels.

The nurse cares for an older adult client with unprovoked back pain and increased serum protein. Which hematologic neoplasm does the nurse suspect the client has? A. Chronic myeloid leukemia B. Multiple myeloma C. Hodgkin lymphoma D. Non-Hodgkin lymphoma

C

Which blood cell type is matched correctly with its function? A. T lymphocyte: Humoral immunity B. Plasma cell: Cell-mediated immunity C. Leukocyte: Fights infection D. B lymphocyte: Secretes immunoglobulin

A B lymphocytes are capable of differentiating into plasma cells. Plasma cells, in turn, produce antibodies called immunoglobulins (Ig), which are protein molecules that destroy foreign material by several mechanisms. T lymphocytes, eosinophils, and neutrophils do not differentiate into plasma cells.

Which of the following cells are capable of differentiating into plasma cells? A. B lymphocytes B. T lymphocytes C. Eosinophils D. Neutrophils

D

You are caring for a client who is undergoing bone marrow aspiration to determine their blood cell formation status. What nursing intervention should you provide to your client after the test? A. Administer oral radioactive vitamin B12 to the client. B. Administer a nonradioactive B12 injection. C. Collect urine for 24 to 48 hours after the client receives the nonradioactive B12. D. Support the client during a bone marrow aspiration and monitor the status.

D vitamin B12 intrinsic factor is absorbed in the distal ileum

A client comes into the emergency department reporting an enlarged tongue. The tongue appears smooth and beefy red in color. The nurse also observes a 5-cm incision on the upper left quadrant of the abdomen. When questioned, the client states, "I had a partial gastrostomy 2 years ago." Based on this information, the nurse attributes these symptoms to which problem? A. Vitamin A deficiency B. Vitamin C deficiency C. Folic acid deficiency D. Vitamin B12 deficiency

C

Albumin is a protein in the plasma portion of the blood. Under normal conditions, albumin cannot pass through the wall of a capillary. What significance is this for the vascular compartment? A. Helps push oxygen into the tissues of the body B. Retains leukocytes in the vascular compartment C. Helps retain fluid in the vascular compartment D. Absorbs carbon dioxide from the tissues for transport to the lungs