CHAPTER 32: ASSESSMENT OF HEMATOLOGIC FUNCTION AND TREATMENT MODALITIES QUESTIONS WITH 100% VERIFIED AND EXPLAINED ANSWERS (GRADED A+) The nurse is caring for a client who had undergone hemodilution during surgery. Immediately after surgery, the nurse expects to see which lab result? a) Elevated erythrocyte concentration b) Elevated creatinine c) Critically low arterial oxygen saturation d) Decreased hematocrit - CORRECT ANS-Decreased hematocrit Explanation: The added intravenous solutions used in hemodilution dilute the concentration of erythrocytes and lower the hematocrit. Adverse outcomes include tissue ischemia, particularly in the kidneys. These adverse outcomes can be manifested as low arterial oxygen saturation and elevated creatinine levels Vitamin B and folic acid deficiencies are characterized by production of abnormally large erythrocytes called which of the following? a) Mast cells b) Megaloblasts c) Blast cells d) Monocytes - CORRECT ANS-Megaloblasts Explanation: Megaloblasts are abnormally large erythrocytes. Blast cells are primitive WBCs. Mast cells are cells found in connective tissue involved in defense of the body and coagulation. Monocytes are large WBCs that become macrophages when they leave the circulation and move into body tissues. A nurse is assigned to care for a patient with ascites, secondary to cirrhosis. The nurse understands that the fluid accumulation in the peritoneal cavity results from a combination of factors including an alteration in oncotic pressure gradients and increased capillary permeability. Therefore, the nurse monitors the serum level of the plasma protein responsible for maintaining oncotic pressure, which is: Continues...
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