HematologyjkTestjkBank
Ajkpatientjkwithjkajkhematologicjkdisorderjkasksjkthejknursejkhowjkthejkbodyjkfor
msjkbloodjkcells.jkThejknursejkshouldjkdescribejkajkprocessjkthatjktakesjkplacejkw
here?
A)jkInjkthejkspleen
B)jkInjkthejkkidneys
C)jkInjkthejkbonejkmarrow
D)jkInjkthejkliverjk-jkCORRECTjkANSWER✔Ans:jkC
Feedback:
Bonejkmarrowjkisjkthejkprimaryjksitejkforjkhematopoiesis.jkThejkliverjkandjksple
enjkmayjkbejkinvolvedjkduringjkembryonicjkdevelopmentjkorjkwhenjkmarrowjki
sjkdestroyed.jkThejkkidneysjkreleasejkerythropoietin,jkwhichjkstimulatesjkthejk
marrowjktojkincreasejkproductionjkofjkredjkbloodjkcellsjk(RBCs).jkHowever,jkbl
oodjkcellsjkarejknotjkprimarilyjkformedjkinjkthejkspleen,jkkidneys,jkorjkliver.
AjkpatientjkhasjkcomejktojkthejkOB/
GYNjkclinicjkduejktojkrecentjkheavyjkmenstrualjkflow.jkBecausejkofjkthejkpatien
,t'sjkconsequentjkincreasejkinjkRBCjkproduction,jkthejknursejkknowsjkthatjkthejkp
atientjkmayjkneedjktojkincreasejkherjkdailyjkintakejkofjkwhatjksubstance?
A)jkVitaminjkE
B)jkVitaminjkD
C)jkIron
D)jkMagnesiumjk-jkCORRECTjkANSWER✔Ans:jkC
Feedback:
Tojkreplacejkbloodjkloss,jkthejkratejkofjkredjkcelljkproductionjkincreases.jkIronjkisj
kincorporated jkintojkhemoglobin.jkVitaminsjkEjkandjkDjkandjkmagnesiumjkdojk
notjkneedjktojkbejkincreasedjkwhenjkRBCjkproductionjkisjkincreased.
Ajknursejkisjkcaringjkforjkajkpatientjkwhojkundergoingjkpreliminaryjktestingjkforjk
ajkhematologicjkdisorder.jkWhatjksignjkorjksymptomjkmostjklikelyjksuggestsjkajk
potentialjkhematologicjkdisorder?
A)jkSuddenjkchangejkinjkleveljkofjkconsciousnessjk(LOC)
B)jkRecurrentjkinfections
,C)jkAnaphylaxis
D)jkSeverejkfatiguejk-jkCORRECTjkANSWER✔Ans:jkD
Feedback:
Thejkmostjkcommonjkindicatorjkofjkhematologicjkdiseasejkisjkextremejkfatigue.
jkThisjkisjkmorejkcommonjkthanjkchangesjkinjkLOC,jkinfections, jkorjkanalphylax
is.
Thejknursejkcaringjkforjkajkpatientjkreceivingjkajktransfusionjknotesjkthatjk15jkmi
nutesjkafterjkthejkinfusionjkofjkpackedjkredjkbloodjkcellsjk(PRBCs)jkhasjkbegun,jk
thejkpatientjkisjkhavingjkdifficultyjkbreathingjkandjkcomplainsjkofjkseverejkchest
jktightness. jkWhatjkisjkthejkmostjkappropriatejkinitialjkactionjkforjkthejknursejktojkt
ake?
A)jkNotifyjkthejkpatient'sjkphysician.
B)jkStopjkthejktransfusionjkimmediately.
C)jkRemovejkthejkpatient'sjkIVjkaccess.
D)jkAssessjkthejkpatient'sjkchestjksoundsjkandjkvitaljksigns.jk-
jkCORRECTjkANSWER✔Ans:jkB
, Feedback:
Vascularjkcollapse,jkbronchospasm,jklaryngealjkedema,jkshock,jkfever,jkchills
,jkandjkjugularjkveinjkdistensionjkarejkseverejkreactions.jkThejknursejkshouldjkdis
continuejkthejktransfusionjkimmediately,jkmonitorjkthejkpatient'sjkvitaljksigns,jk
andjknotifyjkthejkphysician.jkThejkbloodjkcontainerjkandjktubingjkshouldjkbejkse
ntjktojkthejkbloodjkbank.jkAjkbloodjkandjkurinejkspecimenjkmayjkbejkneededjkifjkajk
transfusionjkreactionjkorjkajkbacterialjkinfectionjkisjksuspected.jkThejkpatient'sjk
IVjkaccessjkshouldjknotjkbejkremoved.
Thejknursejkisjkcaringjkforjkajkpatientjkwhojkhasjkdevelopedjkscarjktissuejkinjkman
yjkofjkthejkareasjkthatjknormallyjkproducejkbloodjkcells.jkWhatjkorgansjkcanjkbec
omejkactivejkinjkbloodjkcelljkproductionjkbyjkthejkprocessjkofjkextramedullaryjk
hematopoiesis?
A)jkSpleenjkandjkkidneys
B)jkKidneysjkandjkpancreas
C)jkPancreasjkandjkliver
D)jkLiverjkandjkspleenjk-jkCORRECTjkANSWER✔Ans:jkD
Feedback:
Ajkpatientjkwithjkajkhematologicjkdisorderjkasksjkthejknursejkhowjkthejkbodyjkfor
msjkbloodjkcells.jkThejknursejkshouldjkdescribejkajkprocessjkthatjktakesjkplacejkw
here?
A)jkInjkthejkspleen
B)jkInjkthejkkidneys
C)jkInjkthejkbonejkmarrow
D)jkInjkthejkliverjk-jkCORRECTjkANSWER✔Ans:jkC
Feedback:
Bonejkmarrowjkisjkthejkprimaryjksitejkforjkhematopoiesis.jkThejkliverjkandjksple
enjkmayjkbejkinvolvedjkduringjkembryonicjkdevelopmentjkorjkwhenjkmarrowjki
sjkdestroyed.jkThejkkidneysjkreleasejkerythropoietin,jkwhichjkstimulatesjkthejk
marrowjktojkincreasejkproductionjkofjkredjkbloodjkcellsjk(RBCs).jkHowever,jkbl
oodjkcellsjkarejknotjkprimarilyjkformedjkinjkthejkspleen,jkkidneys,jkorjkliver.
AjkpatientjkhasjkcomejktojkthejkOB/
GYNjkclinicjkduejktojkrecentjkheavyjkmenstrualjkflow.jkBecausejkofjkthejkpatien
,t'sjkconsequentjkincreasejkinjkRBCjkproduction,jkthejknursejkknowsjkthatjkthejkp
atientjkmayjkneedjktojkincreasejkherjkdailyjkintakejkofjkwhatjksubstance?
A)jkVitaminjkE
B)jkVitaminjkD
C)jkIron
D)jkMagnesiumjk-jkCORRECTjkANSWER✔Ans:jkC
Feedback:
Tojkreplacejkbloodjkloss,jkthejkratejkofjkredjkcelljkproductionjkincreases.jkIronjkisj
kincorporated jkintojkhemoglobin.jkVitaminsjkEjkandjkDjkandjkmagnesiumjkdojk
notjkneedjktojkbejkincreasedjkwhenjkRBCjkproductionjkisjkincreased.
Ajknursejkisjkcaringjkforjkajkpatientjkwhojkundergoingjkpreliminaryjktestingjkforjk
ajkhematologicjkdisorder.jkWhatjksignjkorjksymptomjkmostjklikelyjksuggestsjkajk
potentialjkhematologicjkdisorder?
A)jkSuddenjkchangejkinjkleveljkofjkconsciousnessjk(LOC)
B)jkRecurrentjkinfections
,C)jkAnaphylaxis
D)jkSeverejkfatiguejk-jkCORRECTjkANSWER✔Ans:jkD
Feedback:
Thejkmostjkcommonjkindicatorjkofjkhematologicjkdiseasejkisjkextremejkfatigue.
jkThisjkisjkmorejkcommonjkthanjkchangesjkinjkLOC,jkinfections, jkorjkanalphylax
is.
Thejknursejkcaringjkforjkajkpatientjkreceivingjkajktransfusionjknotesjkthatjk15jkmi
nutesjkafterjkthejkinfusionjkofjkpackedjkredjkbloodjkcellsjk(PRBCs)jkhasjkbegun,jk
thejkpatientjkisjkhavingjkdifficultyjkbreathingjkandjkcomplainsjkofjkseverejkchest
jktightness. jkWhatjkisjkthejkmostjkappropriatejkinitialjkactionjkforjkthejknursejktojkt
ake?
A)jkNotifyjkthejkpatient'sjkphysician.
B)jkStopjkthejktransfusionjkimmediately.
C)jkRemovejkthejkpatient'sjkIVjkaccess.
D)jkAssessjkthejkpatient'sjkchestjksoundsjkandjkvitaljksigns.jk-
jkCORRECTjkANSWER✔Ans:jkB
, Feedback:
Vascularjkcollapse,jkbronchospasm,jklaryngealjkedema,jkshock,jkfever,jkchills
,jkandjkjugularjkveinjkdistensionjkarejkseverejkreactions.jkThejknursejkshouldjkdis
continuejkthejktransfusionjkimmediately,jkmonitorjkthejkpatient'sjkvitaljksigns,jk
andjknotifyjkthejkphysician.jkThejkbloodjkcontainerjkandjktubingjkshouldjkbejkse
ntjktojkthejkbloodjkbank.jkAjkbloodjkandjkurinejkspecimenjkmayjkbejkneededjkifjkajk
transfusionjkreactionjkorjkajkbacterialjkinfectionjkisjksuspected.jkThejkpatient'sjk
IVjkaccessjkshouldjknotjkbejkremoved.
Thejknursejkisjkcaringjkforjkajkpatientjkwhojkhasjkdevelopedjkscarjktissuejkinjkman
yjkofjkthejkareasjkthatjknormallyjkproducejkbloodjkcells.jkWhatjkorgansjkcanjkbec
omejkactivejkinjkbloodjkcelljkproductionjkbyjkthejkprocessjkofjkextramedullaryjk
hematopoiesis?
A)jkSpleenjkandjkkidneys
B)jkKidneysjkandjkpancreas
C)jkPancreasjkandjkliver
D)jkLiverjkandjkspleenjk-jkCORRECTjkANSWER✔Ans:jkD
Feedback:
