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Exam (elaborations)

Understanding Pathophysiology (Huether) Module 10 Alterations in Hematologic Function Exam with answers

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Understanding Pathophysiology (Huether) Module 10 Alterations in Hematologic Function Exam with answers

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Understanding Pathophysiology (Huether) | | |




Module 10 Alterations in Hematologic | | | | |




Function Exam with answers | | |




A nurse is discussing a granulocyte. Which type of cell is the nurse describing?
| | | | | | | | | | | | |




A. Platelets
|




B. T cells
| |




C. Neutrophil
|




D. Erythrocyte - Correct answer ✔Neutrophil
| | | | |




Neutrophils, eosinophils and basophils are types of granulocytes.
| | | | | | |




A patient has a decreased number of leukocytes. Which term will the nurse use
| | | | | | | | | | | | | |




to describe this finding?
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A. Leukocytosis
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B. Leukemia
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C. Lymphoblastic
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D. Leukopenia - Correct answer ✔Leukopenia
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Leukopenia is present when the count is lower than normal.
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,A nurse wants to talk about the most common granulocyte cell. Which type of
| | | | | | | | | | | | | |




cells will the nurse describe?
| | | |




A. Basophils
|




B. Eosinophils
|




C. Neutrophils
|




D. Platelets - Correct answer ✔Neutrophil
| | | | |




Neutrophilia is another term that may be used to describe granulocytosis
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because neutrophils are the most numerous of the granulocytes.
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A patient has monocytopenia. Which history data is significant for the
| | | | | | | | | | |




monocytopenia?

A. Uses prednisone/glucocorticoid therapy
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B. Is allergic to penicillin
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C. Overweight by 100 pounds
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D. Has a parasitic infection - Correct answer ✔Uses prednisone/glucocorticoid
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therapy



Monocytopenia, a decrease in monocytes, is rare but has been identified with | | | | | | | | | | | |




hairy cell leukemia and prednisone/glucocorticoid therapy.
| | | | |




A patient has an infection with the Epstein Barr virus. Which lab result will be
| | | | | | | | | | | | | | |




elevated?

A. Basophils
|




B. Platelets
|

,C. Erythrocytes
|




D. Lymphocytes - Correct answer ✔Lymphocytes
| | | | |




Lymphocytosis is rare in acute bacterial infections and is seen most commonly
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in acute viral infections, particularly those caused by the Epstein-Barr virus
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(EBV), a causative agent in infectious mononucleosis.
| | | | | |




Which information should the nurse include when discussing the
| | | | | | | | |




pathophysiology of infectious mononucleosis? | | |




A. A neoplastic proliferation of leukocyte precursor cells in the bone marrow
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B. An infection of B lymphocytes caused by the Epstein-Barr virus
| | | | | | | | | |




C. Malignant plasma cells aggregate into tumor masses in the skeletal system
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D. Decreased neutrophils with resulting granulocytopenia - Correct answer
| | | | | | | | |




✔An infection of B lymphocytes caused by the Epstein-Barr virus
| | | | | | | | |




Infectious mononucleosis is an infection of B lymphocytes caused by the
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Epstein-Barr virus (EBV). | |




A patient has chronic leukemia. Which cell is most affected?
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A. Undifferentiated cells
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B. Chronic cells
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C. Blast cells
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D. Mature cells - Correct answer ✔Mature cells
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, In chronic leukemia, the predominant cell is more mature but does not
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function normally. |




Which information should the nurse include when describing the
| | | | | | | | |




pathophysiology of chronic myelogenous leukemia (CML)? | | | | |




C. A specific chromosomal translocation called the Philadelphia chromosome -
| | | | | | | | | |




Correct answer ✔A specific chromosomal translocation called the Philadelphia
| | | | | | | | |




chromosome



CML is more common in middle-aged to older adults and is frequently
| | | | | | | | | | | |




associated with a specific chromosomal translocation, called the Philadelphia
| | | | | | | | |




chromosome.



A patient has recently been diagnosed with Lymphoblastic lymphoma (LL).
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Which initial assessment is typical of this disease?
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A. Painless swollen lymph nodes in the neck
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B. Bleeding in the abdomen
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C. Tumor in the thyroid
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D. Tissue ischemia in the extremities - Correct answer ✔Painless swollen lymph
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nodes in the neck
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The first sign of LL is usually a painless lymphadenopathy in the neck.
| | | | | | | | | | | |




A patient has heparin induced thrombocytopenia. Which treatment should the
| | | | | | | | | |




nurse implement? |




A. Stop the heparin
| | |

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