Deck 74: Assessment of the Hematopoietic System

Question 1

The nurse notes that a client has a higher than normal reticulocyte count. This would indicate

A) bone marrow depression.
B) dehydration.
C) increased erythrocyte production.
D) polycythemia vera.

Answer 1

increased erythrocyte production.

Question 2

The nurse reads that an assigned client has an immunodeficiency. The nurse reads further in the medical record, anticipating that the client also most likely has a history of

A) conjunctivitis.
B) severe headaches.
C) skin eruptions.
D) unexplained weight loss.

Answer 2

unexplained weight loss.

Question 3

Several employees report allergic manifestations. The occupational health nurse would focus an investigation on the workplace's

A) food service vendor.
B) heating and cooling systems.
C) lighting.
D) water supply.

Answer 3

heating and cooling systems.

Question 4

The nurse assesses the client who underwent partial removal of the stomach a year ago for the manifestations of

A) anemia.
B) high white blood cell count.
C) low platelet count.
D) shortened bleeding times.

Question 5

The nurse should anticipate an elevated hemoglobin level in a

A) 40-year-old woman with congestive heart failure.
B) client who lives in Colorado.
C) client with iron deficiency anemia.
D) dehydrated elderly client being given IV fluids.

Question 6

The nurse is monitoring the laboratory test results for a client receiving anticoagulation therapy. The nurse is aware that the International Normalized Ratio (INR) for most clinical conditions requiring anticoagulation is

A) less than 1.
B) 1 to 2.
C) 2 to 3.5.
D) 3 to 5.5.

Question 7

The laboratory test result that would be most helpful to the nurse in the assessment of a client with a bleeding disorder is

A) differential count.
B) hematocrit.
C) platelet count.
D) RBC count.

Question 8

A client has severe anemia and is being treated with transfusion therapy. The nurse should be alert for a complication of transfusion, such as

A) flank pain.
B) hearing loss.
C) liver damage.
D) sore throat.

Question 9

The manifestation the nurse would question the client about that is characteristically associated with anemia is

A) fatigue.
B) pruritus.
C) rash.
D) ruddy skin color.

Question 10

A client has a hematocrit (Hct) of 30%. The nurse interprets this to mean

A) 30% of the blood will be plasma and plasma products.
B) bleeding disorders are possible.
C) the blood is viscous and concentrated.
D) the individual has fewer red blood cells than normal.

Question 11

A nurse is explaining the purpose of a bone marrow biopsy (BMB) to a client. The information the nurse provides is that a bone marrow biopsy is done to evaluate

A) blood dyscrasias such as aplastic anemia or leukemia.
B) hemoglobin and hematocrit production.
C) specific parts of the white cell differentiation.
D) total numbers and types of different lymphocytes.

Question 12

The nurse discovers a client is taking the herb St. John's wort. The nurse cautions that this herb reduces the effectiveness of

A) lanoxin.
B) prednisone.
C) theophylline.
D) warfarin.

Question 13

A client presents to the ambulatory care center seeking treatment for allergies. When questioning the client, the nurse would inquire about (Select all that apply)

A) a history of desensitization shots and their effectiveness.
B) presence of fatigue, headaches, or weakness.
C) previous anaphylactic reactions to food.
D) seasonal variation in manifestations.
E) triggers known to cause manifestations.

Question 14

In evaluating a young woman, the following laboratory result the nurse recognizes as abnormal is

A) hemoglobin 13 g/dl.
B) platelet count 20,000/mm3.
C) red blood cell count 5 million/mm3.
D) white blood cell count 6000/mm3.