NUR425:Exam2:Q/A
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1. The nurse recognizes which as a function of red blood cells?: Red blood cells
carry oxygen from the lungs to the body's tissues. This is their main function. They
also help transport carbon dioxide, but oxygen transport is their primary role.
2. In reviewing a patient's complete blood count (CBC) results, the nurse notes
a "shift to the left." What is the significance of these results?: A "shift to the left"
in a blood test means there are more immature neutrophils (band cells) present. It
suggests an infection or inflammation, indicating the body's response. Monitoring it
helps guide treatment decisions.
3. The nurse prioritizes which nursing diagnosis for the patient with a de-
creased neutrophil count?: For a patient with low neutrophil count, the nurse
prioritizes "Risk for Infection" to prevent and manage infections due to reduced ability
to fight them off.
4. The nurse recognizes which of the following as a component of plasma
within the blood?: Electrolytes are recognized by nurses as a part of blood plasma.
They help maintain fluid balance and cell function. Platelets, red blood cells, and
white blood cells are different components of blood.
5. Which clotting factor is converted to fibrin and is responsible for clot
formation?: Fibrinogen becomes fibrin, forming blood clots. It's done by thrombin,
derived from prothrombin. Calcium ions and tissue thromboplastin help, but don't
directly convert into fibrin.
6. The nurse correlates a potential for decreased oxygenation in the female
patient with which laboratory results?: The nurse suspects decreased oxygen
levels in the female patient, which is related to her Hemoglobin level of 12.0
g/dL. Hemoglobin carries oxygen in the blood, so a lower level could mean less
oxygenation.
7. The nurse encourages the patient with iron deficiency anemia to increase
which food in the diet?: To improve iron deficiency anemia, the nurse advises the
patient to eat more shellfish, lima beans, citrus fruits (for vitamin C), and consider
consuming milk products separately from iron-rich foods.
8. The nurse provides education to a patient diagnosed with a folic acid
deficiency. Which patient statement indicates a correct understanding of the
dietary information presented?: Green, leafy vegetables such as spinach, kale,
and broccoli are good sources of folic acid. Consuming more of these vegetables
can help address a folic acid deficiency.
9. The nurse provides care to a patient who presents with clinical manifes-
tations of an ischemic stroke. Which time frame does the nurse anticipate
for the prescribed fibrinolytic medication?: Ischemic stroke patients should be
given fibrinolytic medication within 4 hours by nurses. This timeframe allows effective
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administration, but guidelines and timeframes may vary. Nurses should consult
doctors and follow fibrinolytic medication guidelines.
10. The nurse recognizes which prescribed medication is indicated to prevent
the formation of clots for a patient diagnosed with deep vein thrombosis
(DVT)?: Nurse prescribes Warfarin to prevent clot formation in patients with deep
vein thrombosis (DVT). Warfarin inhibits clotting factors production and is taken
orally. Vitamin K is used as an antidote. Abciximab and streptokinase are not
commonly used for DVT prevention.
11. The nurse recognizes that a patient who presents in the emergency depart-
ment with symptoms of a thrombotic stroke should be evaluated to receive
which medication?: Emergency department patients with thrombotic stroke symp-
toms may receive Abciximab medication to prevent blood clotting and reduce brain
clot formation. Other medications like Warfarin, Vitamin K, and Streptokinase may
also be used, depending on the patient's condition and doctor's recommendation.
12. In completing a physical assessment on a patient, the nurse notes that
the patient has a red, swollen, smooth, shiny and tender tongue. The nurse
correlates this finding to which disorder?: Iron deficiency anemia can cause
glossitis, tongue inflammation. Glossitis makes the tongue red, swollen, and shiny.
Inflammation may cause tenderness. Thrombocytosis, leukopenia, and vitamin K
deficiency rarely cause these tongue findings.
13. In monitoring a patient at the completion of a bleeding time test, which find-
ing requires an intervention?: An intervention is necessary if bleeding persists
beyond 5 minutes after a bleeding time test, indicating abnormal bleeding clotting or
platelet dysfunction. Immediate medical intervention is needed to prevent excessive
bleeding or complications.
14. Which term does the nurse use when documenting an elevated red blood
cell (RBC) count?: Polycythemia is a condition involving an increased number of
red blood cells in the bloodstream, caused by factors like dehydration, smoking, and
high altitudes. Anemia, neutropenia, and thrombocytopenia are conditions affecting
red blood cells, neutrophils, and platelets.
15. What term does the nurse use to document a decreased platelet count?: -
Thrombocytopenia to describe decreased platelet count, which is crucial for blood
clotting. This condition increases bleeding risk and difficulty in forming blood clots.
It differs from anemia, which decreases red blood cells, and neutropenia, which
decreases white blood cells.
16. The nurse is caring for a male patient with hypersplenism. Which labora-
tory result does the nurse correlate to this disorder?: Hypersplenism occurs
when the spleen overactivates, causing excessive blood cell destruction, leading to
, NUR425:Exam2:Q/A
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low platelet counts. The patient's platelet count is 120,000, below normal, but other
laboratory results do not indicate hypersplenism.
17. The nurse analyzes a female patient's CBC count, which includes platelets,
hemoglobin, red blood cells, and white blood cells. The patient's hemoglobin
is 15 g/dL, and red blood cells are 4.4 million cells/mm3.: The nurse reviewed
a female patient's blood test results, finding normal values without low red or white
blood cell counts, low platelet count, or anemia. No significant issues were detected,
indicating normal results.
18. The nurse monitors which laboratory results in the patient with a clot-
ting disorder caused by the intrinsic pathway?: Monitor (Partial Thromboplastin
Time)PTT in patients with intrinsic clotting disorders to assess blood clotting time
and evaluate clotting factors. PTT is the best way to track a patient's condition, as
other tests are not directly related to clotting disorders.
19. The nurse is reviewing laboratory results for a patient scheduled for a
bleeding time test. Which value requires an immediate intervention?: To pre-
vent excessive bleeding, nurses should treat a patient's 70,000/mm3 platelet count.
This indicates clotting issues and increases bleeding risk during and after a bleeding
time test. Nurses should notify doctors and order platelet transfusions or further
testing.
20. The nurse is providing care to a patient who has impaired platelet aggrega-
tion. What does the nurse anticipate based on this data?: The nurse suspects
the patient with impaired platelet aggregation is taking anti-inflammatory agents,
which may affect platelet function, increasing bleeding risk. Other options like vitamin
K, folic acid, and B12 supplements are not directly related to the issue.
21. Which statement to the nurse by the patient about a planned bone marrow
biopsy indicates the need for further teaching?: The patient needs further teach-
ing about a planned bone marrow biopsy, as they believe strict bedrest is unneces-
sary after the procedure. They may resume normal activities with some restrictions
after the biopsy. Further teaching is needed to clarify the misunderstanding.
22. The nurse is assisting the healthcare provider with a bone marrow as-
piration and biopsy on a patient who has leukemia. The patient also has
thrombocytopenia. On completing of the test, which intervention is a priority
for the nurse?: Nurse prioritizes applying pressure to bone marrow biopsy wound
for 5-10 minutes to prevent bleeding, especially with low platelet count. Other options
include infection signs, specimen labeling, and pain assessment.
23. Which is an age-related hematological change the nurse anticipates when
reviewing a complete blood count (CBC) for an older adult patient?: Inflam-
mation, infection, and diseases can increase blood sedimentation rate as people
age. Hematocrit and hemoglobin increases are not usually associated with aging.
Study online at https://quizlet.com/_dfasiw
1. The nurse recognizes which as a function of red blood cells?: Red blood cells
carry oxygen from the lungs to the body's tissues. This is their main function. They
also help transport carbon dioxide, but oxygen transport is their primary role.
2. In reviewing a patient's complete blood count (CBC) results, the nurse notes
a "shift to the left." What is the significance of these results?: A "shift to the left"
in a blood test means there are more immature neutrophils (band cells) present. It
suggests an infection or inflammation, indicating the body's response. Monitoring it
helps guide treatment decisions.
3. The nurse prioritizes which nursing diagnosis for the patient with a de-
creased neutrophil count?: For a patient with low neutrophil count, the nurse
prioritizes "Risk for Infection" to prevent and manage infections due to reduced ability
to fight them off.
4. The nurse recognizes which of the following as a component of plasma
within the blood?: Electrolytes are recognized by nurses as a part of blood plasma.
They help maintain fluid balance and cell function. Platelets, red blood cells, and
white blood cells are different components of blood.
5. Which clotting factor is converted to fibrin and is responsible for clot
formation?: Fibrinogen becomes fibrin, forming blood clots. It's done by thrombin,
derived from prothrombin. Calcium ions and tissue thromboplastin help, but don't
directly convert into fibrin.
6. The nurse correlates a potential for decreased oxygenation in the female
patient with which laboratory results?: The nurse suspects decreased oxygen
levels in the female patient, which is related to her Hemoglobin level of 12.0
g/dL. Hemoglobin carries oxygen in the blood, so a lower level could mean less
oxygenation.
7. The nurse encourages the patient with iron deficiency anemia to increase
which food in the diet?: To improve iron deficiency anemia, the nurse advises the
patient to eat more shellfish, lima beans, citrus fruits (for vitamin C), and consider
consuming milk products separately from iron-rich foods.
8. The nurse provides education to a patient diagnosed with a folic acid
deficiency. Which patient statement indicates a correct understanding of the
dietary information presented?: Green, leafy vegetables such as spinach, kale,
and broccoli are good sources of folic acid. Consuming more of these vegetables
can help address a folic acid deficiency.
9. The nurse provides care to a patient who presents with clinical manifes-
tations of an ischemic stroke. Which time frame does the nurse anticipate
for the prescribed fibrinolytic medication?: Ischemic stroke patients should be
given fibrinolytic medication within 4 hours by nurses. This timeframe allows effective
, NUR425:Exam2:Q/A
Study online at https://quizlet.com/_dfasiw
administration, but guidelines and timeframes may vary. Nurses should consult
doctors and follow fibrinolytic medication guidelines.
10. The nurse recognizes which prescribed medication is indicated to prevent
the formation of clots for a patient diagnosed with deep vein thrombosis
(DVT)?: Nurse prescribes Warfarin to prevent clot formation in patients with deep
vein thrombosis (DVT). Warfarin inhibits clotting factors production and is taken
orally. Vitamin K is used as an antidote. Abciximab and streptokinase are not
commonly used for DVT prevention.
11. The nurse recognizes that a patient who presents in the emergency depart-
ment with symptoms of a thrombotic stroke should be evaluated to receive
which medication?: Emergency department patients with thrombotic stroke symp-
toms may receive Abciximab medication to prevent blood clotting and reduce brain
clot formation. Other medications like Warfarin, Vitamin K, and Streptokinase may
also be used, depending on the patient's condition and doctor's recommendation.
12. In completing a physical assessment on a patient, the nurse notes that
the patient has a red, swollen, smooth, shiny and tender tongue. The nurse
correlates this finding to which disorder?: Iron deficiency anemia can cause
glossitis, tongue inflammation. Glossitis makes the tongue red, swollen, and shiny.
Inflammation may cause tenderness. Thrombocytosis, leukopenia, and vitamin K
deficiency rarely cause these tongue findings.
13. In monitoring a patient at the completion of a bleeding time test, which find-
ing requires an intervention?: An intervention is necessary if bleeding persists
beyond 5 minutes after a bleeding time test, indicating abnormal bleeding clotting or
platelet dysfunction. Immediate medical intervention is needed to prevent excessive
bleeding or complications.
14. Which term does the nurse use when documenting an elevated red blood
cell (RBC) count?: Polycythemia is a condition involving an increased number of
red blood cells in the bloodstream, caused by factors like dehydration, smoking, and
high altitudes. Anemia, neutropenia, and thrombocytopenia are conditions affecting
red blood cells, neutrophils, and platelets.
15. What term does the nurse use to document a decreased platelet count?: -
Thrombocytopenia to describe decreased platelet count, which is crucial for blood
clotting. This condition increases bleeding risk and difficulty in forming blood clots.
It differs from anemia, which decreases red blood cells, and neutropenia, which
decreases white blood cells.
16. The nurse is caring for a male patient with hypersplenism. Which labora-
tory result does the nurse correlate to this disorder?: Hypersplenism occurs
when the spleen overactivates, causing excessive blood cell destruction, leading to
, NUR425:Exam2:Q/A
Study online at https://quizlet.com/_dfasiw
low platelet counts. The patient's platelet count is 120,000, below normal, but other
laboratory results do not indicate hypersplenism.
17. The nurse analyzes a female patient's CBC count, which includes platelets,
hemoglobin, red blood cells, and white blood cells. The patient's hemoglobin
is 15 g/dL, and red blood cells are 4.4 million cells/mm3.: The nurse reviewed
a female patient's blood test results, finding normal values without low red or white
blood cell counts, low platelet count, or anemia. No significant issues were detected,
indicating normal results.
18. The nurse monitors which laboratory results in the patient with a clot-
ting disorder caused by the intrinsic pathway?: Monitor (Partial Thromboplastin
Time)PTT in patients with intrinsic clotting disorders to assess blood clotting time
and evaluate clotting factors. PTT is the best way to track a patient's condition, as
other tests are not directly related to clotting disorders.
19. The nurse is reviewing laboratory results for a patient scheduled for a
bleeding time test. Which value requires an immediate intervention?: To pre-
vent excessive bleeding, nurses should treat a patient's 70,000/mm3 platelet count.
This indicates clotting issues and increases bleeding risk during and after a bleeding
time test. Nurses should notify doctors and order platelet transfusions or further
testing.
20. The nurse is providing care to a patient who has impaired platelet aggrega-
tion. What does the nurse anticipate based on this data?: The nurse suspects
the patient with impaired platelet aggregation is taking anti-inflammatory agents,
which may affect platelet function, increasing bleeding risk. Other options like vitamin
K, folic acid, and B12 supplements are not directly related to the issue.
21. Which statement to the nurse by the patient about a planned bone marrow
biopsy indicates the need for further teaching?: The patient needs further teach-
ing about a planned bone marrow biopsy, as they believe strict bedrest is unneces-
sary after the procedure. They may resume normal activities with some restrictions
after the biopsy. Further teaching is needed to clarify the misunderstanding.
22. The nurse is assisting the healthcare provider with a bone marrow as-
piration and biopsy on a patient who has leukemia. The patient also has
thrombocytopenia. On completing of the test, which intervention is a priority
for the nurse?: Nurse prioritizes applying pressure to bone marrow biopsy wound
for 5-10 minutes to prevent bleeding, especially with low platelet count. Other options
include infection signs, specimen labeling, and pain assessment.
23. Which is an age-related hematological change the nurse anticipates when
reviewing a complete blood count (CBC) for an older adult patient?: Inflam-
mation, infection, and diseases can increase blood sedimentation rate as people
age. Hematocrit and hemoglobin increases are not usually associated with aging.
