Chapter 7: Care of the Patient with a Blood or Lymphatic Disorder

Chapter 7: Care of the Patient with a Blood or Lymphatic Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What is the process by which certain cells engulf and digest microorganisms and cellular debris?

a.	Erythrocytosis
b.	Hematocrit
c.	Phagocytosis
d.	Hemostasis

 

 

ANS:  C

Phagocytosis is the process by which bacteria, cellular debris, and solid particles are destroyed and removed.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 267        OBJ:   3

TOP:   Diagnostic procedures                     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. The nurse explains that because it is a reliable and predictable indicator of the body’s level of infection or recovery the _____________________ is a common diagnostic tool.

a.	Hemoglobin
b.	Hematocrit
c.	Mean cell volume (MCV)
d.	Differential

 

 

ANS:  D

A differential white blood cell count is an examination in which the different kinds of WBCs are counted and reported as percentages of the total examined. It is a common diagnostic tool because of its reliability and the predictability of the body’s response to infection or its progress in recovery.

 

DIF:    Cognitive Level: Analysis                REF:   Page 267        OBJ:   4

TOP:   Differential     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

3. The nurse assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates:

a.	a significant hemorrhage.
b.	aplastic anemia.
c.	an overwhelming bacterial infection.
d.	beginning recovery from an infection.

 

 

ANS:  C

An increase in immature neutrophils (bands) is called bandemia, and it indicates an overwhelming bacterial infection.

 

DIF:    Cognitive Level: Application           REF:   Page 267        OBJ:   1

TOP:   Bandemia       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

4. B cells and T cells fit under which classification?

a.	Erythrocytes
b.	Basophils
c.	Lymphocytes
d.	Monocytes

 

 

ANS:  C

B cells and T cells, the major players in the antigen/antibody conflict, are both lymphocytes.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 267        OBJ:   1

TOP:   Lymphocytes                                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

5. The nurse explains that in the event of an invasion of an allergen, the basophils release a strong vasodilator, which is:

a.	lysozyme.
b.	prothrombin.
c.	hematocrit.
d.	histamine.

 

 

ANS:  D

Histamine is released by the basophils during the invasion of an allergen.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 267        OBJ:   1

TOP:   Leukocytes     KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity