The nurse explains that because it is a reliable and predictable indicator of the body's level of infection or recovery, which is a common diagnostic tool?
- A. hemoglobin
- B. hematocrit
- C. mean cell volume (MCV)
- D. differential
Correct Answer: D
Rationale: A differential white blood cell count is an examination in which the different kinds of WBCs are counted and reported as percentages of the total examined. It is a common diagnostic tool because of its reliability and the predictability of the body's response to infection or its progress in recovery.
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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.
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.
In caring for a patient with multiple myeloma, which should the nurse prioritize from the plan of care?
- A. Limit fluid intake to less than 1000 mL/day
- B. Closely supervise and assist when ambulating
- C. Strain all urine for kidney crystals
- D. Limit the use of an analgesic
Correct Answer: B
Rationale: Because of the constant threat of pathologic fractures, ambulation should be carefully supervised and assisted. Fluids are not restricted. Uric acid is increased and may crystalize in the kidney, but straining is not necessary. Analgesia is necessary for relief of bone pain.
The person with aplastic anemia is said to have because all three major blood elements (RBCs, WBCs, and platelets) are diminished or absent.
Correct Answer: pancytopenia
Rationale: Persons with aplastic anemia are deficient in all three of the major blood elements, a condition known as pancytopenia.
Which would the nurse explain as a type of leukemia that affects noticeably more children and teens than adults?
- A. Chronic lymphocytic leukemia (CLL)
- B. Acute myeloid leukemia (AML)
- C. Acute lymphocytic leukemia (ALL)
- D. Chronic myeloid leukemia (CML)
Correct Answer: C
Rationale: The majority of cases of ALL are children under the age of 5 years.
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