Brunner and Suddarth's Textbook of Medical
Surgical Nursing- Chapter 32: Assessment of
Hematologic Function and Treatment Modalities
A client's health history reveals daily consumption of two to three bottles of wine. The nurse should plan
assessments and interventions in light of the patient's increased risk for what hematologic disorder?
Leukemia
Anemia
Thrombocytopenia
Lymphoma - correct answerLeukemia
Anemia*****
Thrombocytopenia
Lymphoma
Feedback: Heavy alcohol use is associated with numerous health problems, including anemia. Leukemia
and lymphoma are not associated with alcohol use; RBC levels are typically affected more than platelet
levels.
A man suffers a leg wound which causes minor blood loss. As a result of bleeding, the process of primary
hemostasis is activated. What occurs in primary hemostasis?
Severed blood vessels constrict.
Thromboplastin is released.
Prothrombin is converted to thrombin.
Fibrin is lysed. - correct answerSevered blood vessels constrict.****
Thromboplastin is released.
Prothrombin is converted to thrombin.
Fibrin is lysed.
,Feedback: Primary hemostasis involves the severed vessel constricting and platelets collecting at the
injury site. Secondary hemostasis occurs when thromboplastin is released, prothrombin converts to
thrombin, and fibrin is lysed.
A nurse at a blood donation clinic has completed the collection of blood from a woman. The woman
states that she feels "lightheaded" and she appears visibly pale. What is the nurse's most appropriate
action?
Help her into a sitting position with her head lowered below her knees.
Administer supplementary oxygen by nasal prongs.
Obtain a full set of vital signs.
Inform a physician or other primary care provider. - correct answerHelp her into a sitting position with
her head lowered below her knees.***
Administer supplementary oxygen by nasal prongs.
Obtain a full set of vital signs.
Inform a physician or other primary care provider.
Feedback: A donor who appears pale or complains of faintness should immediately lie down or sit with
the head lowered below the knees. He or she should be observed for another 30 minutes. There is no
immediate need for a physician's care. Supplementary oxygen may be beneficial, but may take too much
time to facilitate before a syncopal episode. Repositioning must precede assessment of vital signs.
A nurse has participated in organizing a blood donation drive at a local community center. Which of the
following individuals would most likely be disallowed from donating blood?
A man who is 81 years of age
, A woman whose blood pressure is 88/51 mm Hg
A man who donated blood 4 months ago
A woman who has type 1 diabetes - correct answerA man who is 81 years of age
A woman whose blood pressure is 88/51 mm Hg ***
A man who donated blood 4 months ago
A woman who has type 1 diabetes
Feedback: For potential blood donors, systolic arterial BP should be 90 to 180 mm Hg, and the diastolic
pressure should be 50 to 100 mm Hg. There is no absolute upper age limit. Donation 4 months ago does
not preclude safe repeat donation and diabetes is not a contraindication.
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 - correct answerSudden 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.
A nurse is educating a patient about the role of B lymphocytes. The nurse's description will include
which of the following physiologic processes?
Stem cell differentiation
Cytokine production
Surgical Nursing- Chapter 32: Assessment of
Hematologic Function and Treatment Modalities
A client's health history reveals daily consumption of two to three bottles of wine. The nurse should plan
assessments and interventions in light of the patient's increased risk for what hematologic disorder?
Leukemia
Anemia
Thrombocytopenia
Lymphoma - correct answerLeukemia
Anemia*****
Thrombocytopenia
Lymphoma
Feedback: Heavy alcohol use is associated with numerous health problems, including anemia. Leukemia
and lymphoma are not associated with alcohol use; RBC levels are typically affected more than platelet
levels.
A man suffers a leg wound which causes minor blood loss. As a result of bleeding, the process of primary
hemostasis is activated. What occurs in primary hemostasis?
Severed blood vessels constrict.
Thromboplastin is released.
Prothrombin is converted to thrombin.
Fibrin is lysed. - correct answerSevered blood vessels constrict.****
Thromboplastin is released.
Prothrombin is converted to thrombin.
Fibrin is lysed.
,Feedback: Primary hemostasis involves the severed vessel constricting and platelets collecting at the
injury site. Secondary hemostasis occurs when thromboplastin is released, prothrombin converts to
thrombin, and fibrin is lysed.
A nurse at a blood donation clinic has completed the collection of blood from a woman. The woman
states that she feels "lightheaded" and she appears visibly pale. What is the nurse's most appropriate
action?
Help her into a sitting position with her head lowered below her knees.
Administer supplementary oxygen by nasal prongs.
Obtain a full set of vital signs.
Inform a physician or other primary care provider. - correct answerHelp her into a sitting position with
her head lowered below her knees.***
Administer supplementary oxygen by nasal prongs.
Obtain a full set of vital signs.
Inform a physician or other primary care provider.
Feedback: A donor who appears pale or complains of faintness should immediately lie down or sit with
the head lowered below the knees. He or she should be observed for another 30 minutes. There is no
immediate need for a physician's care. Supplementary oxygen may be beneficial, but may take too much
time to facilitate before a syncopal episode. Repositioning must precede assessment of vital signs.
A nurse has participated in organizing a blood donation drive at a local community center. Which of the
following individuals would most likely be disallowed from donating blood?
A man who is 81 years of age
, A woman whose blood pressure is 88/51 mm Hg
A man who donated blood 4 months ago
A woman who has type 1 diabetes - correct answerA man who is 81 years of age
A woman whose blood pressure is 88/51 mm Hg ***
A man who donated blood 4 months ago
A woman who has type 1 diabetes
Feedback: For potential blood donors, systolic arterial BP should be 90 to 180 mm Hg, and the diastolic
pressure should be 50 to 100 mm Hg. There is no absolute upper age limit. Donation 4 months ago does
not preclude safe repeat donation and diabetes is not a contraindication.
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 - correct answerSudden 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.
A nurse is educating a patient about the role of B lymphocytes. The nurse's description will include
which of the following physiologic processes?
Stem cell differentiation
Cytokine production
