Nokea
A client is taking a medication that has the side effect of depressing the hematopoietic system. What signs of leukopenia should the nurse monitor for while the client is taking this drug?
- A. Fever, sore throat, and chills
- B. Nausea and vomiting
- C. Diarrhea, diaphoresis, and fever
- D. Intolerance to heat and rash
Correct Answer: A
Rationale: Closely monitor clients taking medications that depress the hematopoietic system, particularly thrombocytes and leukocytes. Signs of leukopenia include fever, sore throat, and chills. Nausea and vomiting, diarrhea, diaphoresis, heat intolerance, and rash are not indicative of leukocytosis.
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The nurse is caring for three clients who have the following blood count values: Client A has 24,500/mm?³ white blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a 250,000/mm?³ platelet count. Which statement correctly describes the condition of each client?
- A. Client A has a normal WBC count, client B has a higher hemoglobin count than normal, and client C has a normal platelet count.
- B. Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.
- C. Client A has a higher WBC count than normal, client B has a normal hemoglobin count, and client C has a higher platelet count than normal.
- D. Client A has a lower WBC count than normal, client B has a normal hemoglobin count, and client C has a normal platelet count.
Correct Answer: B
Rationale: The normal leukocyte count is between 5000 and 10,000/mm?³. Client A has an increased number of leukocytes greater than 10,000/mm?³ and hence has leukocytosis. In adults, the normal amount of hemoglobin is 12.0 to 17.4 g/dL; therefore, client B has a normal hemoglobin count. A normal circulating platelet count is 150,000 to 350,000/mm?³ platelets; therefore, client C has a normal platelet count.
A student nurse is having difficulty understanding the function of globulins. What information can the client provide to the student regarding the function of globulins?
- A. Immunologic agents
- B. Destruction of invading organisms
- C. Precursors to clot formation
- D. Transport of oxygen to the tissues
Correct Answer: A
Rationale: Globulins function primarily as immunologic agents; they prevent or modify some types of infectious diseases. Globulins do not destroy invading organisms, participate in clot formation, or transport oxygen to the tissues.
Why would it be important for the nurse to obtain information regarding the dietary history of a client with a possible abnormality of the hematopoietic or lymphatic system?
- A. It could determine if the illness is self-induced by nutritional starvation.
- B. If the client has impaired protein intake, it will cause diseases of the hematopoietic system.
- C. Altered nutrition is the cause of abnormalities of the hematopoietic and lymphatic system.
- D. Compromised nutrition interferes with production of blood cells and hemoglobin.
Correct Answer: D
Rationale: The nurse obtains a dietary history because compromised nutrition interferes with the production of blood cells and hemoglobin. The history cannot determine if the illness is self-induced by starvation. Nutritional deficiencies do not cause diseases of the hematopoietic system and lymphatic system.
The nurse observes that a client who had an arterial blood gas performed 30 minutes ago is still oozing blood from the puncture site. Pressure was held to the site for 5 minutes after the puncture and another 5 minutes when the site was still oozing. What factor does the nurse know will participate in the ability for the blood to clot?
- A. Platelets
- B. Leukocytes
- C. Erythrocytes
- D. Albumin
Correct Answer: A
Rationale: Platelets participate in clotting blood. Leukocytes protect against infection. Erythrocytes transport oxygen, and albumin affects intravascular osmotic pressure.
A client is in the hospital with a bleeding gastric ulcer and requires a blood transfusion. He has been typed and crossmatched for 2 units of packed red blood cells and found to have type O blood. What type of blood will the nurse administer to this client?
- A. Type A
- B. Type B
- C. Type AB
- D. Type O
Correct Answer: D
Rationale: Those with type O blood can only receive type O blood. Clients with all other blood types can receive type O blood provided the Rh factor is compatible.