Care of the Patient with a Blood or
Lymphatic Disorder Cooper and Gosnell:
Foundations and Adult Health Nursing,
7th Edition graded A+
1.What is the process by which certain cells engulf and digest microorganisms and
cellular debris? - Chapter 46: Care of the Patient with a Blood ANS: C
Phagocytosis is the process by which bacteria, cellular debris, and solid particles are
destroyed and removed.
2.The nurse explains that because it is a reliable and predictable indicator of the bodys
level of infection or recovery the _____________________ is a common diagnostic tool.
- Chapter 46: Care of the Patient with a Blood ANS: D
A differential white blood cell count is an examination in which the different kinds of
WBCs are counted and reported as percentages of the total examined. It is a common
diagnostic tool because of its reliability and the predictability of the bodys response to
infection or its progress in recovery.
3.The nurse assessing a differential sees an increase in immature neutrophils (bands)
and is aware that this indicates: - Chapter 46: Care of the Patient with a Blood ANS: C
An increase in immature neutrophils (bands) is called bandemia, and it indicates an
overwhelming bacterial infection.
4.B cells and T cells fit under which classification? - Chapter 46: Care of the Patient with
a Blood ANS: C
B cells and T cells, the major players in the antigen/antibody conflict, are both
lymphocytes.
5.The nurse explains that in the event of an invasion of an allergen, the basophils
release a strong vasodilator, which is: - Chapter 46: Care of the Patient with a Blood
ANS: D
Histamine is released by the basophils during the invasion of an allerge
6.The presence of excess bands in the peripheral blood that indicate severe infection is
called: - Chapter 46: Care of the Patient with a Blood ANS: A
The presence of excess bands in the peripheral blood is called a shift to the left (i.e., a
shift toward immature cells) and indicates severe infection.
7.A patient who had a Schilling test shows a 20% excretion of the radioactive vitamin
B12. What would this indicate? - Chapter 46: Care of the Patient with a Blood ANS: B
, The Schilling test is a laboratory blood test for diagnosing pernicious anemia. The
normal reading 24 hours after the administration of radioactive vitamin B12 is 8% to
40%. The test measures the absorption of radioactive vitamin B12.
8.In an adult, where are erythrocytes continuously produced? - Chapter 46: Care of the
Patient with a Blood ANS: D
Erythrocytes are continuously produced in the red bone marrow, principally in the
vertebrae, ribs, and sternum.
9.What does the elevation in the eosinophil count to 10% indicate? - Chapter 46: Care
of the Patient with a Blood ANS: B
Normal values of eosinophils are 1% to 4%. An elevation to 10% would indicate the
presence of an allergic reaction.
10.What would a nurse include in a teaching plan for a home health patient with a
hemoglobin of 8.4 mg? - Chapter 46: Care of the Patient with a Blood ANS: C
Severely anemic persons need to conserve their energy. Observing a rest period after a
period of activity will reduce hypoxia. Oxygen may be used as necessary
11.Approximately how much blood is stored in the spleen that can be released in a
hypovolemic emergency? - Chapter 46: Care of the Patient with a Blood ANS: C
The spleen stores 1 pint of blood, approximately 500 mL, which can be released during
emergencies.
12.The nurse caring for a patient with pernicious anemia should make provisions for: -
Chapter 46: Care of the Patient with a Blood ANS: B
Persons with pernicious anemia are especially sensitive to cold. The provision of a light
blanket is beneficial.
13.When instructing the patient taking an oral liquid iron preparation, what should the
nurse include? - Chapter 46: Care of the Patient with a Blood ANS: C
Liquid iron preparations should be drunk through a straw to prevent tooth staining. All
oral iron preparations should be taken before meals. Dairy products interfere with the
absorption of iron.
14.When the 14-year-old African American boy comes into the emergency room in
sickle cell crisis, what should be the primary focus of care? - Chapter 46: Care of the
Patient with a Blood ANS: C
Pain control during the crisis is the focus. Continuous opioids are the mainstay of pain
management. Certainly IV fluids to reduce viscosity of blood and oxygen for relief of
dyspnea are important, but pain control is paramount in the acute phase
15.The mother of a 4-year-old child with leukemia says to the nurse, I dont understand
why he is crying about his legs hurting. The nurses most informative response would be
based on the information that bone pain is related to: - Chapter 46: Care of the Patient
with a Blood ANS: D
Lymphatic Disorder Cooper and Gosnell:
Foundations and Adult Health Nursing,
7th Edition graded A+
1.What is the process by which certain cells engulf and digest microorganisms and
cellular debris? - Chapter 46: Care of the Patient with a Blood ANS: C
Phagocytosis is the process by which bacteria, cellular debris, and solid particles are
destroyed and removed.
2.The nurse explains that because it is a reliable and predictable indicator of the bodys
level of infection or recovery the _____________________ is a common diagnostic tool.
- Chapter 46: Care of the Patient with a Blood ANS: D
A differential white blood cell count is an examination in which the different kinds of
WBCs are counted and reported as percentages of the total examined. It is a common
diagnostic tool because of its reliability and the predictability of the bodys response to
infection or its progress in recovery.
3.The nurse assessing a differential sees an increase in immature neutrophils (bands)
and is aware that this indicates: - Chapter 46: Care of the Patient with a Blood ANS: C
An increase in immature neutrophils (bands) is called bandemia, and it indicates an
overwhelming bacterial infection.
4.B cells and T cells fit under which classification? - Chapter 46: Care of the Patient with
a Blood ANS: C
B cells and T cells, the major players in the antigen/antibody conflict, are both
lymphocytes.
5.The nurse explains that in the event of an invasion of an allergen, the basophils
release a strong vasodilator, which is: - Chapter 46: Care of the Patient with a Blood
ANS: D
Histamine is released by the basophils during the invasion of an allerge
6.The presence of excess bands in the peripheral blood that indicate severe infection is
called: - Chapter 46: Care of the Patient with a Blood ANS: A
The presence of excess bands in the peripheral blood is called a shift to the left (i.e., a
shift toward immature cells) and indicates severe infection.
7.A patient who had a Schilling test shows a 20% excretion of the radioactive vitamin
B12. What would this indicate? - Chapter 46: Care of the Patient with a Blood ANS: B
, The Schilling test is a laboratory blood test for diagnosing pernicious anemia. The
normal reading 24 hours after the administration of radioactive vitamin B12 is 8% to
40%. The test measures the absorption of radioactive vitamin B12.
8.In an adult, where are erythrocytes continuously produced? - Chapter 46: Care of the
Patient with a Blood ANS: D
Erythrocytes are continuously produced in the red bone marrow, principally in the
vertebrae, ribs, and sternum.
9.What does the elevation in the eosinophil count to 10% indicate? - Chapter 46: Care
of the Patient with a Blood ANS: B
Normal values of eosinophils are 1% to 4%. An elevation to 10% would indicate the
presence of an allergic reaction.
10.What would a nurse include in a teaching plan for a home health patient with a
hemoglobin of 8.4 mg? - Chapter 46: Care of the Patient with a Blood ANS: C
Severely anemic persons need to conserve their energy. Observing a rest period after a
period of activity will reduce hypoxia. Oxygen may be used as necessary
11.Approximately how much blood is stored in the spleen that can be released in a
hypovolemic emergency? - Chapter 46: Care of the Patient with a Blood ANS: C
The spleen stores 1 pint of blood, approximately 500 mL, which can be released during
emergencies.
12.The nurse caring for a patient with pernicious anemia should make provisions for: -
Chapter 46: Care of the Patient with a Blood ANS: B
Persons with pernicious anemia are especially sensitive to cold. The provision of a light
blanket is beneficial.
13.When instructing the patient taking an oral liquid iron preparation, what should the
nurse include? - Chapter 46: Care of the Patient with a Blood ANS: C
Liquid iron preparations should be drunk through a straw to prevent tooth staining. All
oral iron preparations should be taken before meals. Dairy products interfere with the
absorption of iron.
14.When the 14-year-old African American boy comes into the emergency room in
sickle cell crisis, what should be the primary focus of care? - Chapter 46: Care of the
Patient with a Blood ANS: C
Pain control during the crisis is the focus. Continuous opioids are the mainstay of pain
management. Certainly IV fluids to reduce viscosity of blood and oxygen for relief of
dyspnea are important, but pain control is paramount in the acute phase
15.The mother of a 4-year-old child with leukemia says to the nurse, I dont understand
why he is crying about his legs hurting. The nurses most informative response would be
based on the information that bone pain is related to: - Chapter 46: Care of the Patient
with a Blood ANS: D
