Exam 20: Alterations of Hematologic Function

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A 58-year-old female presents in the clinic presenting with fatigue,weight loss,and tingling in her fingers.Laboratory findings show low hemoglobin and hematocrit,a high mean corpuscular volume,and normal plasma iron.These assessment findings are consistent with which type of anemia?

(Multiple Choice)
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A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath.His skin and sclera appear to have a yellowish discoloration.These assessment findings are consistent with which type of anemia?

(Multiple Choice)
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A 5-year-old male was diagnosed with normocytic-normochromic anemia.Which of the following anemias does the nurse suspect the patient has?

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A 5-year-old female is diagnosed with acute leukemia.The nurse will most likely treat this patient with:

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A 30-year-old female presents with hematuria,menorrhagia,and bleeding gums.She is diagnosed with immune thrombocytic purpura (ITP).A nurse realizes the most likely cause is:

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When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin,the nurse calls these erythrocytes:

(Multiple Choice)
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In disseminated intravascular coagulation (DIC),the nurse assesses for active bleeding after intravascular clotting because:

(Multiple Choice)
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A 65-year-old male is diagnosed with multiple myeloma.He reports severe pain.This pain can be attributed to:

(Multiple Choice)
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A 15-year-old male is diagnosed with infectious mononucleosis.When the patient asks how he got this disease,how should the nurse respond? The most likely cause is:

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A 40-year-old male vegetarian is diagnosed with folate deficiency anemia.He reports that he is an alcoholic.Which of the following factors put him at greatest risk for developing his disease?

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For a patient experiencing hypersplenism,the nurse expects the erythrocytes to be:

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A 67-year-old male was diagnosed with polycythemia vera (PV)but refused treatment.His condition is at risk for converting to:

(Multiple Choice)
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A 21-year-old woman was recently diagnosed with iron deficiency anemia.Her hematocrit is 32%.Which of the following treatments would the nurse expect to be prescribed for her?

(Multiple Choice)
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Thrombocytopenia may be:

(Multiple Choice)
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A 20-year-old female has an increase in eosinophils.When the patient wants to know the most likely cause of the eosinophilia.What is the nurse's best response?

(Multiple Choice)
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A nurse is teaching the staff about disseminated intravascular coagulation (DIC).Which information should the nurse include? The sequence of events in DIC is initiated by the release of:

(Multiple Choice)
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A 52-year-old male IV drug user was diagnosed with hepatitis C 5 years ago.He is now experiencing impaired blood clotting.The nurse suspects a decrease in which of the following vitamins?

(Multiple Choice)
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A 35-year-old male has enlarged lymph nodes in the neck and a mediastinal mass.He was diagnosed with Hodgkin lymphoma.Which of the following abnormal cells would the nurse expect to find with this disease?

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A 50-year-old female is diagnosed with primary thrombocythemia.A nurse would expect the blood smear to reveal _____ platelets.

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A nurse realizes a patient has thrombocytopenia when the platelet count is below _____ platelets per cubic millimeter.

(Short Answer)
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