NRS 3025 Exam 1 - Questions With Solved
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Terms in this set (118)
Normal range of RBC: 4.2-6.1
Normal Range of WBC: 5,000-10,000
Normal Range of Iron: 60-180
Normal Range of 150,000-400,000
Platelets:
Normal Range of Hgb: 12-18
Normal Range of Hct: 37-52%
Normal Range of PT: 11-12.5 seconds
Normal Range of APTT: 30-40 seconds
Normal Range of INR: 0.8-1.1 (2-3 on warfarin)
Normal Range of D- <0.4
dimer
Normal Range of 200-400
Fibrinogen
Low lab levels:
RBC: Below 4.2
Pancytopenia:
WBC: Below 5,000
Platelets: Below 150,000
Bone marrow produces RBC, WBC, platelets
what blood cells?
, Process of creating blood and bone marrow cells:
Erythrocytes
Platelets
Hematopoiesis
Granulocytes
Lymphocytes
Monocytes
What lab values may D. All of the above.
indicate the presence of Low WBC (normal 5,000-10,000)- low=leukopenia
infection? Low ANC (absolute neutrophil count) normal is
A. WBC of 1.2 2500-6000.
B. ANC of 500 Bands= less mature neutrophils (cannot fight
C. Bands of 5% infection)- bands are never good.
D. All of the Above ANC and bands will be on a CBC with differential
If the patient has an ANC Diagnosis: Neutropenic Fever
of less than 1000 and a Priority: Risk of infection
fever of 37.8 or higher, Action: Fluids, cultures, antibiotics (broad spectrum)
what do they have
(Diagnosis)? ** This is a medical emergency
What is the priority?
What do you do as the
nurse?
What is a concern with Sedation: Respiratory issue. Respiratory drive.
having a bone marrow Risk for bleeding
biopsy?
What location is a bone Iliac Crest or sternum ONLY
marrow Biopsy taken
from?
Preprocedure: consent
Bone marrow biopsy Intraprocedure: Aseptic technique- sterile
considerations? procedure
Postprocedure: Monitor for infection and bleeding
Is Leukemia Malignant? Malignant disease of blood forming organs
Where is Leukemia Bone marrow, blood, lymph
located?
, Aging
Cancer is a disease of...
Neoplastic disease process that involves abnormal
cell growth and differentiation
Immature cells (blasts) keep dividing, never mature,
Leukemia- Blasts are dont die, but are released into the blood stream.
what? This is an issue because blasts can crowd out
normal cells.
Rapid onset
Acute Leukemia (ALL) 100% mortality within days if untreated (3 days)
Myeloid or lymphoid
Slow onset/progression
Survivals- weeks/years
Chronic Leukemia (CLL) Myeloid or lymphoid
** This becomes an issue when you become septic,
hospitalized or have another issue
Night sweats
S&S of Leukemia Unintended Weight loss
Bone pain, Fever, Fatigue, SOB, HA, V
complications that can Pancytopenia: Low WBC, Hgb, and platelets
occur due to
pancytopenia High risk for bleeding and infection
Difference between Leukemia: malignant process of the blood
Leukemia, lymphoma, Lymphoma: Malignant process of the lymph
multiple myeloma Multiple Myeloma: Malignant process of the plasma
Poorly differentiated These are more different looking and have a worse
Cells outcome.
Well differentiated cells Higher survival chances- better outcomes
Non-Hodgkins In elderly 60+
Lymphoma Initiates in multiple nodes, spread in unpredictable
20-40 y.o.
High Cure rate
Hodgkins Lymphoma
Initiates in a single node.
Reed Steinberg cells present
Correct Solutions
Save
Terms in this set (118)
Normal range of RBC: 4.2-6.1
Normal Range of WBC: 5,000-10,000
Normal Range of Iron: 60-180
Normal Range of 150,000-400,000
Platelets:
Normal Range of Hgb: 12-18
Normal Range of Hct: 37-52%
Normal Range of PT: 11-12.5 seconds
Normal Range of APTT: 30-40 seconds
Normal Range of INR: 0.8-1.1 (2-3 on warfarin)
Normal Range of D- <0.4
dimer
Normal Range of 200-400
Fibrinogen
Low lab levels:
RBC: Below 4.2
Pancytopenia:
WBC: Below 5,000
Platelets: Below 150,000
Bone marrow produces RBC, WBC, platelets
what blood cells?
, Process of creating blood and bone marrow cells:
Erythrocytes
Platelets
Hematopoiesis
Granulocytes
Lymphocytes
Monocytes
What lab values may D. All of the above.
indicate the presence of Low WBC (normal 5,000-10,000)- low=leukopenia
infection? Low ANC (absolute neutrophil count) normal is
A. WBC of 1.2 2500-6000.
B. ANC of 500 Bands= less mature neutrophils (cannot fight
C. Bands of 5% infection)- bands are never good.
D. All of the Above ANC and bands will be on a CBC with differential
If the patient has an ANC Diagnosis: Neutropenic Fever
of less than 1000 and a Priority: Risk of infection
fever of 37.8 or higher, Action: Fluids, cultures, antibiotics (broad spectrum)
what do they have
(Diagnosis)? ** This is a medical emergency
What is the priority?
What do you do as the
nurse?
What is a concern with Sedation: Respiratory issue. Respiratory drive.
having a bone marrow Risk for bleeding
biopsy?
What location is a bone Iliac Crest or sternum ONLY
marrow Biopsy taken
from?
Preprocedure: consent
Bone marrow biopsy Intraprocedure: Aseptic technique- sterile
considerations? procedure
Postprocedure: Monitor for infection and bleeding
Is Leukemia Malignant? Malignant disease of blood forming organs
Where is Leukemia Bone marrow, blood, lymph
located?
, Aging
Cancer is a disease of...
Neoplastic disease process that involves abnormal
cell growth and differentiation
Immature cells (blasts) keep dividing, never mature,
Leukemia- Blasts are dont die, but are released into the blood stream.
what? This is an issue because blasts can crowd out
normal cells.
Rapid onset
Acute Leukemia (ALL) 100% mortality within days if untreated (3 days)
Myeloid or lymphoid
Slow onset/progression
Survivals- weeks/years
Chronic Leukemia (CLL) Myeloid or lymphoid
** This becomes an issue when you become septic,
hospitalized or have another issue
Night sweats
S&S of Leukemia Unintended Weight loss
Bone pain, Fever, Fatigue, SOB, HA, V
complications that can Pancytopenia: Low WBC, Hgb, and platelets
occur due to
pancytopenia High risk for bleeding and infection
Difference between Leukemia: malignant process of the blood
Leukemia, lymphoma, Lymphoma: Malignant process of the lymph
multiple myeloma Multiple Myeloma: Malignant process of the plasma
Poorly differentiated These are more different looking and have a worse
Cells outcome.
Well differentiated cells Higher survival chances- better outcomes
Non-Hodgkins In elderly 60+
Lymphoma Initiates in multiple nodes, spread in unpredictable
20-40 y.o.
High Cure rate
Hodgkins Lymphoma
Initiates in a single node.
Reed Steinberg cells present
