Chapter 27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures

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?

____     2.   The nurse notes that a patient’s gaping wound is developing a blood clot. Which body substance is responsible for this clot formation?

____     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?

____     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?

____     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?

MULTIPLE CHOICE

1. ANS:  B

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

2. ANS:  B

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

3. ANS:  C

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

4. ANS:  D

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

5. ANS:  A

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