Nokea
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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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.
are leukocytes that destroy and remove cellular waste, bacteria, and solid particles.
Correct Answer: Neutrophils
Rationale: Neutrophils (granular circulating leukocytes essential for phagocytosis, the process by which bacteria, cellular debris, and solid particles are destroyed and removed) ingest bacteria and dispose of dead tissue.
A patient has been diagnosed with pernicious anemia. When reinforcing instructions, the nurse explains this disorder results from which process?
- A. Poor nutritional intake of iron
- B. Lack of the intrinsic factor
- C. Blood loss due to hemorrhage
- D. Excess production of red blood cells
Correct Answer: B
Rationale: With pernicious anemia, the body lacks the intrinsic factor. Iron deficiency anemia is caused by poor nutritional iron intake. Blood loss associated anemia is due to hemorrhage. Pernicious anemia is not associated with excess production of red blood cells.
When the 14-year-old patient comes into the emergency room in sickle cell crisis, which should be the primary focus of care?
- A. Genetic counseling
- B. Applying ice packs
- C. Pain relief measures
- D. Providing iron replacements
Correct Answer: C
Rationale: Pain control during the crisis is the focus. Continuous opioids are the mainstay of pain management. Genetic counseling would not be appropriate during a crisis. Ice packs would constrict blood vessels, thus contributing to more pain. Iron replacement is not usually given with sickle cell anemia.
The Reed-Sternberg cell is the hallmark diagnostic indicator for disease.
Correct Answer: Hodgkin
Rationale: The Reed-Sternberg cell, large abnormal multinucleated cells in the lymph nodes, is diagnostic of Hodgkin disease.