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AHN 447 Exam 5 (Hematology & HIV/AIDS)
Questions With Verified Answers
Produces RBC, WBC, and platelets - Answers✔bone marrow
maintains osmotic pressure, prevents plasma leak - Answers✔albumin
large proteins, assist with immune function - Answers✔globulins
What kinds of WBC's help with inflammation? - Answers✔granulocytes - neutrophils,
monocyte, eosinophil, basophil, macrophages
What kinds of WBC's help with immunity? - Answers✔agranulocytes - B-lymphocytes, T-
lymphocytes, cytotoxic-cytolytic, T-cell, natural killer cell
a multi-step process of controlled blood clotting - Answers✔homeostasis
What is the 3 step process of clot formation? - Answers✔1. Platelet aggregation - begins the
formation of a platelet plug
2. Blood clotting - a cascade of events triggered by the formation of the platelet plug; release of
clotting factors
3. Fibrin clot formation - last phase of blood clotting
What are the direct thrombin inhibitors? - Answers✔Eliquix, Praxada, Xarelto
What is the benefit of direct thrombin inhibitors? What is the disadvantage? - Answers✔no need
to monitor labs; lack of antidote to administer
What are the indirect thrombin inhibitors? - Answers✔heparin, lovenox
What lab do yo monitor with warfarin? Heparin? - Answers✔Warfarin - PT
Heparin - PTT and INR and Antifactor XA
What is important to know about St. John's Worts and Ginkgo biloba? - Answers✔they inhibit
platelet activity and should not be done with platelet inhibitors (plavix, aspirin, brilinta)
Where should you assess a dark skin toned pt for discoloration? - Answers✔oral mucus
membranes and conjunctiva of the eye
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What foods should a pt who is iron deficient incorporate? - Answers✔- organ meats, lean beef,
broccoli, oysters, beans, and strawberries
- vegitarians can sub meats with soy beans, raisins, tofu, and bok choy
What is included in a warfarin diet? And what should you teach them? - Answers✔- avoid large
amounts of kale, spinach, and collard greens
- teach consistency
- maintain established eating patterns
When caring for sickle cell patients what is the priority? - Answers✔First: Oxygen
Second: Pain medication
Third: Hydration
What treatment should you try to avoid in sickle cell pts and why? - Answers✔try to avoid
repeated blood transfusions due to increased risk of side effects
What is the treatment for a sickle cell crisis? - Answers✔- 48 hours of IV analgesics (morphine
or dilaudid)
- hydroxyurea (Droxia): can reduce # of sickling and pain episodes, but serious side effects
- Hypotonic solutions (D5W or D5/.45%) usually at a high rate
What is the hallmark manifestation of B12 deficiency anemia? - Answers✔beefy, red tongue
What are the causes of B12 deficiency anemia? - Answers✔- poor intake of foods containing
vitamin B12
- small bowel resection
- tapeworm
- overgrowth of intestinal bacteria
What foods are rich in vitamin B12? - Answers✔egg, milk, salmon, liver, beef, yogurt, fortified
cereal, nutritional yeast, dairy products
results from failure to absorb vitamin B12; deficiency of the intrinsic factor -
Answers✔pernicious anemia
deficiency of circulating RBC's due to bone marrow not producing - Answers✔aplastic anemia
What are the 3 major factors of polycythemia vera? - Answers✔- excessive production of RBC's
- excessive leukocyte production
- excessive production of platelets