Chapter 46: Care of the Patient with a Blood or Lymphatic Disorder My Nursing Test Banks Chapter 46: Care of the Patient with a Blood or Lymphatic Disorder Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition Que & Ans

1.What is the process by which certain cells engulf and digest microorganisms and cellular debris? - ANS 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 body's level of infection or recovery the _____________________ is a common diagnostic tool. - ANS 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 body's 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: - ANS 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? - ANS 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: - ANS ANS: D Histamine is released by the basophils during the invasion of an allergy 6.The presence of excess bands in the peripheral blood that indicate severe infection is called: - ANS 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? - ANS 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? - ANS ANS: D Erythrocytes are continuously produced in the red bone marrow, principally in the vertebrae, ribs, and sternum.