Brunner and Suddarth's Textbook of Medical Surgical Nursing- Chapter 32 Test: Assessment of Hematologic Function and Treatment Modalities || With Questions & 100% Correct Solutions

Brunner and Suddarth's Textbook of Medical Surgical Nursing- Chapter 32 Test: Assessment of Hematologic Function and Treatment Modalities || With Questions & 100% Correct Solutions Brunner and Suddarth's Textbook of Medical Surgical Nursing- Chapter 32 Test: Assessment of Hematologic Function and Treatment Modalities || With Questions & 100% Correct Solutions A nurse is caring for a patient who undergoing preliminary testing for a hematologic disorder. What sign or symptom most likely suggests a potential hematologic disorder? Sudden change in level of consciousness (LOC) Recurrent infections Anaphylaxis Severe fatigue - ANSWER - Sudden change in level of consciousness (LOC) Recurrent infections Anaphylaxis Severe fatigue**** Feedback: The most common indicator of hematologic disease is extreme fatigue. This is more common than changes in LOC, infections, or analphylaxis. The nurse caring for a patient receiving a transfusion notes that 15 minutes after the infusion of packed red blood cells (PRBCs) has begun, the patient is having difficulty breathing and complains of severe chest tightness. What is the most appropriate initial action for the nurse to take? Notify the patient's physician. Stop the transfusion immediately. Remove the patient's IV access. Assess the patient's chest sounds and vital signs. - ANSWER - Notify the patient's physician. Stop the transfusion immediately.***** Remove the patient's IV access. Assess the patient's chest sounds and vital signs. Feedback: Vascular collapse, bronchospasm, laryngeal edema, shock, fever, chills, and jugular vein distension are severe reactions. The nurse should discontinue the transfusion immediately, monitor the patient's vital signs, and notify the physician. The blood container and tubing should be sent to the blood bank. A blood and urine specimen may be needed if a transfusion reaction or a bacterial infection is suspected. The patient's IV access should not be removed. The nurse is describing the role of plasminogen in the clotting cascade. Where in the body is plasminogen present? Myocardial muscle tissue All body fluids Cerebral tissue Venous and arterial vessel walls - ANSWER - Myocardial muscle tissue All body fluids**** Cerebral tissue Venous and arterial vessel walls Feedback: Plasminogen, which is present in all body fluids, circulates with fibrinogen. Plasminogen is found in body fluids, not tissue. The nurse is caring for a patient who has developed scar tissue in many of the areas that normally produce blood cells. What organs can become active in blood cell production by the process of extramedullary hematopoiesis?