Approximately how much blood is stored in the spleen that can be released in a hypovolemic emergency?
- A. 100 mL
- B. 300 mL
- C. 500 mL
- D. 1000 mL
Correct Answer: C
Rationale: The spleen stores 1 pint of blood, approximately 500 mL, which can be released during emergencies.
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The nurse clarifies that ferrous replaces iron stores to treat iron deficiency anemia.
Correct Answer: sulfate
Rationale: Ferrous sulfate replaces iron stores needed to treat iron deficiency anemia.
Which food would the nurse recommend to a person with iron-deficiency anemia as an excellent meat source for erythropoiesis?
- A. Dark meat of chicken
- B. Cured ham
- C. Pork chops
- D. Processed meat
Correct Answer: A
Rationale: The dark meat of poultry is a good meat source for erythropoiesis.
The nurse is aware that some persons of the Jehovah's Witness faith accept which types of blood transfusions?
- A. No type of blood transfusion
- B. Blood that has been blessed by their religious leader
- C. Transfusions only for persons who have not yet been baptized
- D. Autologous blood transfusions
Correct Answer: D
Rationale: Some Jehovah's Witness followers are accepting of autologous blood transfusions and some will accept volume expanders such as colloids.
The nurse caring for a patient in the emergency room with suspected internal injuries will assess for hypovolemic shock, which is evidenced by which symptom?
- A. irritability.
- B. restlessness.
- C. slow bounding pulse.
- D. decreased respirations.
- E. pallor.
- F. hypotension.
Correct Answer: A,B,E,F
Rationale: Indicators of hypovolemia are restlessness, irritability, rapid thready pulse, increasing respirations, pale, cool moist skin, and hypotension. Should the blood loss continue, the patient could go into hypovolemic shock.
The nurse assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates which concern?
- A. a significant hemorrhage.
- B. aplastic anemia.
- C. an infection or stress.
- D. beginning recovery from an infection.
Correct Answer: C
Rationale: An increase in immature neutrophils (bands) is sometimes referred to as 'a shift to the left', and it indicates an infection or stress.
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