Nokea
The nurse examines the complete blood count (CBC) to assess which level?
- A. hematocrit.
- B. red cell count.
- C. differential white blood cell count.
- D. plasma level.
- E. blood type.
- F. hemoglobin.
Correct Answer: A,B,C,F
Rationale: The CBC gives information relative to RBC, WBC, hematocrit, hemoglobin, erythrocyte indexes, WBC differential, and examination of the peripheral blood cells.
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Which must a patient undergo before a bone marrow transplant?
- A. A thorough nutritional plan to support new marrow
- B. Chemotherapy to eradicate malignant bone marrow cells
- C. A physical therapy program to strengthen the body
- D. Inhalation therapy to reduce possible pathogens in the lungs
Correct Answer: B
Rationale: Before the actual marrow transplant, the patient must undergo chemotherapy to kill all the marrow cells and the leukemic cells. The patient is at a major risk for infection at this time.
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.
Which does the elevation in the eosinophil count to 10% indicate?
- A. Anemia
- B. Allergy
- C. Infection
- D. Hypoxia
Correct Answer: B
Rationale: Normal values of eosinophils are 1% to 4%. An elevation to 10% would indicate the presence of an allergic reaction.
The hematopoietic stem cell transplant (Bone marrow transplant) is used for a patient with which disease?
- A. Iron deficiency anemia
- B. Aplastic anemia
- C. Leukemia
- D. Pernicious anemia
- E. Myelodysplastic syndrome
Correct Answer: B,C,E
Rationale: Bone marrow transplant may be used for aplastic anemia, leukemia and myelodysplastic syndrome. It is not used for iron deficiency anemia or pernicious anemia.