Nokea
Erythropoiesis is the term referring to which process?
- A. Destruction of older red blood cells
- B. Lack of folic acid to create new red blood cells
- C. Releasing white blood cells in response to infection
- D. Production of new red blood cells in the bone marrow
Correct Answer: D
Rationale: Erythropoiesis is the term used to describe the production of new red blood cells in the bone marrow.
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Neutrophils release an enzyme that destroys certain bacteria.
Correct Answer: lysozyme
Rationale: Lysozyme is an enzyme released by the neutrophils that kills certain bacteria when the bacteria is recognized in the body.
Which patient statement from a 15-year-old girl with thrombocytopenia would require more assessment to report to the charge nurse?
- A. I think these red spots on my skin are going away.'
- B. I am so bored lying in bed I could scream.'
- C. I can't tell if the corticosteroids are helping.'
- D. I started my menstrual period this morning.'
Correct Answer: D
Rationale: Menstrual losses may be severe with a low platelet count. The nurse should assess the amount of bleeding to report to the charge nurse.
A 23-year-old male patient with hemophilia A says, 'How can I keep my children from having hemophilia A?' Which is the most informative response?
- A. You need to select a very dependable mode of birth control.'
- B. You can only pass hemophilia B to your sons.'
- C. Your daughter may be a carrier and her children may have hemophilia A.'
- D. Your sons should have coagulation studies.'
Correct Answer: C
Rationale: Hemophilia A is an X-linked trait. Females are carriers; therefore, the patient's daughter could pass the disease to her sons.
The nurse is reading the results of a white blood cell count differential. Which abnormal reading indicates a severe allergic reaction?
- A. Increased basophil count
- B. Increased lymphocyte count
- C. Increased monocyte count
- D. Increased neutrophil count
Correct Answer: A
Rationale: An increased basophil count may indicate a severe allergic reaction.
The home health nurse recommends to the mother of a 12-year-old child with leukemia that the child should have which vaccine?
- A. the series for prevention of hepatitis B.
- B. an annual influenza vaccine.
- C. an annual pneumococcal vaccine.
- D. vitamin B12 shots.
Correct Answer: B
Rationale: Children with leukemia should have an annual influenza vaccine and a pneumococcal vaccine every 5 years.