Chapter 26

When on the scene, noncritical patients should be reassured at least every ________ minutes. -5 -10 -15 -30

15

Patients with anemia usually become symptomatic when their hematocrit falls below: -10 percent. -15 percent. -30 percent. -40 percent.

30 percent.

Which of the following is the hallmark of anemia? -Misshapen red blood cells -Decreased WBC count -Decrease in clotting factors -Abnormally low hematocrit

Abnormally low hematocrit

What type of anemia occurs when the bone marrow does NOT produce an adequate number of RBCs, WBCs, or platelets? -Pernicious anemia -Aplastic anemia -Sickle cell anemia -Iron deficiency anemia

Aplastic anemia

Which of the following is the major cause of pain for the sickle cell patient? -Clumps of sickle cells obstruct capillary beds -Blood pools in the spleen causing pain -Hemolysis of the cells leading to gallstones -Blood clots in the lungs

Clumps of sickle cells obstruct capillary beds

Of the following, which would be the MOST likely dysfunction experienced by a patient with multiple myeloma? -Decreased T cell production -Decreased blood cell production -Increased T cell production -Increased blood cell production

Decreased blood cell production

You are caring for a patient who had uncontrolled bleeding from his nose due to a clotting disorder. How would you describe this problem in your documentation? -Purpura -Petechiae -Epistaxis -Hemolysis

Epistaxis

During coagulation a circulating substance creates a meshwork to reinforce the blood clot and stabilize it. What is this substance -called? -Fibrin -Platelets -Antibodies -Rh antigen

Fibrin

Which of the following statements regarding hemophilia is MOST accurate? -Hemophilia is a hereditary abnormality of the platelets. -Hemophilia is a hereditary disease in which the body is unable to produce vitamin K. -Hemophilia is a hereditary disease that causes fibrin clots to dissolve prematurely. -Hemophilia is a hereditary lack of certain proteins needed in the clotting cascade.

Hemophilia is a hereditary lack of certain proteins needed in the clotting cascade.

Which of the following is an indication of infection? -Platelet production -Increased WBC count -Decreased red blood cells -Presence of anti-Rh antibodies

Increased WBC count

Which of the following situations would NOT result in anemia? -Increased production of erythrocytes -Iron deficiency -Blood loss -Destruction of red blood cells

Increased production of erythrocytes

Which of the following can cause an increase in white blood cell production? -Living at high altitudes -Hypoxia -Infection or inflammation -Chemotherapy

Infection or inflammation

Which of the following is TRUE concerning sickle cell anemia? -It is an autoimmune disease in which the body destroys its own hemoglobin. -It is a hereditary disease involving abnormal hemoglobin. -It is an acquired disease in which the body cannot absorb iron. -It is a hereditary disease involving lack of intrinsic factor

It is a hereditary disease involving abnormal hemoglobin.

Which of the following statements about immunity is TRUE? -Lymphocytes are involved in specific immunity. -Mast cells are eosinophils that migrate into the tissues. -Most specific antibodies are present are birth. -Cell-mediated immunity uses antibody formation to combat pathogens.

Lymphocytes are involved in specific immunity.

In which of the following disorders are pathological fractures MOST commonly seen? -Lymphadenopathy -Sickle cell -Anemia -Multiple myeloma

Multiple myeloma

If your patient has type O+ blood, what other blood type(s) can she receive? -O- -AB- -AB- and O- -AB+

O-

The universal blood donor type is: -A. -B. -O. -AB.

O.

Which of the following is associated with sickle cell disease? -Premature RBC destruction -Decrease in WBC production -Abnormal WBC production -Profuse, abnormal night sweats

Premature RBC destruction

Your patient has type A+ blood. Which of the following statements about the patient's blood is TRUE? -The patient produces anti-A antibodies. -The patient can only receive A+ blood if a transfusion is needed. -There are type A antigens on the surface of the red blood cells. -The blood cells lack Rh antigens.

There are type A antigens on the surface of the red blood cells.

Your patient just deplaned from a long coast to coast flight and you are called because he has had an acute onset of shortness of breath. You should suspect: -an acute asthma attack. -disseminated intravascular coagulation. -a pulmonary embolism due to DVT. -flash pulmonary edema.

a pulmonary embolism due to DVT.

The primary treatment for an acute sickle cell crisis includes all of the following EXCEPT: -IV fluid administration. -narcotic analgesia. -anticoagulants. -oxygen therapy.

anticoagulants.

Systemic activation of clotting mechanisms can result from all of the following EXCEPT: -sepsis. -calcium overdose. -transfusion reactions. -surgery.

calcium overdose.

A systemic overactivation of clotting mechanisms is called: -deep vein thrombosis. -hemophilia. -disseminated intravascular coagulation. -sickle cell crisis.

disseminated intravascular coagulation.

A patient that is experiencing a transfusion reaction would likely be exhibiting: -severe night sweats. -dyspnea. -fever. -abdominal pain.

fever.

Many of the proteins that make up the remainder of plasma volume, such as albumin and clotting factors, are manufactured in the: -bone marrow. -spleen. -kidneys. -liver.

liver.

The ________ migrate into the tissues where they release histamine and heparin. -mast cells -macrophages -thrombocytes -white blood cells

mast cells

The hematocrit and the level of hemoglobin in the blood are important measures of the blood's: -metabolism. -level of erythropoietin. -iron-containing protein. -oxygen-carrying capacity.

oxygen-carrying capacity.

Petechiae is recognizable as: -bruising of the skin over the joints. -small, blotchy areas of hemorrhage. -a collection of blood in the tissues. -pinpoint hemorrhages in the skin.

pinpoint hemorrhages in the skin.

The most accurate term for a hemorrhagic area in the skin over 3 mm in diameter is: -purpura. -hematuria. -petechiae. -pruritus.

purpura.

All of the following could be a result of a vaso-occlusive crisis EXCEPT: -pulmonary embolism. -spontaneous bleeding. -priapism. -ischemia.

spontaneous bleeding.