Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is concerned that a patient is demonstrating signs of red blood cell production. What laboratory value did the nurse most likely use to make this decision?
| a. | Iron |
| b. | Bilirubin |
| c. | Thrombin |
| d. | Intrinsic factor |
____ 2. The nurse notes that a patient’s gaping wound is developing a blood clot. Which body substance is responsible for this clot formation?
| a. | Plasma |
| b. | Platelets |
| c. | Red blood cells |
| d. | White blood cells |
____ 3. A nurse is preparing to assist with a bone marrow biopsy. Which anatomical site should the nurse anticipate will be used to obtain the specimen?
| a. | Ribs |
| b. | Humerus |
| c. | Posterior iliac crest |
| d. | Long bones in the legs |
____ 4. The nurse is reviewing the parts of the complete blood count and differential with a patient. Where should the nurse state that neutrophils, eosinophils, and basophils are produced?
| a. | Spleen |
| b. | Thymus |
| c. | Lymph nodes |
| d. | Red bone marrow |
____ 5. The nurse is explaining the role of red blood cells with oxygen transport in the body with a nursing student. Which term should the nurse use to describe hemoglobin that has given up its oxygen to the body’s cells?
| a. | Reduced |
| b. | Detached |
| c. | Oxyhemoglobin |
| d. | Hypoxyhemoglobin |
MULTIPLE CHOICE
The heme unit from RBC destruction forms bilirubin. B. Iron is not a value used to determine red blood cell destruction. C. Thrombin is involved in clotting. D. Intrinsic factor is a chemical produced by the parietal cells of the stomach lining that promote absorption of vitamin B12.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis
Platelets are formed in the red bone marrow. They are fragments of large cells and are involved in all mechanisms of hemostasis: vascular spasm, platelet plugs, and chemical clotting. A. Plasma is not responsible for clot formation. C. D. Red and white blood cells may arrive to a site of injury however are not responsible for clot formation.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
An accurate bone marrow specimen in an adult can be obtained from the sternum, the spinous processes of the vertebrae, or the anterior or posterior iliac crests. A. B. D. The ribs, humerus, and long bones in the legs are not used for a bone marrow biopsy.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
The granular white blood cells – neutrophils, eosinophils, and basophils – are produced in the red bone marrow. B. T lymphocytes complete their development in the thymus. A. C. The T lymphocytes and B lymphocytes become activated, proliferate, and differentiate in the lymph nodes, spleen, and lymphatic nodules.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
Once hemoglobin gives up its oxygen to the cells of the body, it becomes reduced hemoglobin. C. Oxyhemoglobin is formed in the pulmonary capillaries where the hemoglobin combines with the oxygen in the lungs. B. D. Detached and hypoxyhemoglobin are not terms used to describe hemoglobin that has released oxygen into body cells.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
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