Exam 21: Alterations of Hematologic Function

After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has a reduction in the number of circulating erythrocytes?

Aplastic anemia is caused by:

A 60-year-old patient diagnosed with emphysema experiences a rapid and pounding heart, dizziness, and fatigue with exertion.Which respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand?

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

A 62-year-old reports experiencing regular night sweats and unintentionally losing weight.Physical exam reveals enlarged neck lymph nodes that do not appear to be painful.These findings support a diagnosis of which type of cancer?

A 2-year-old malnourished child is diagnosed with vitamin B?? and folate deficiencies.A blood smear suggests the deficiency is macrocytic and normochromic.The nurse would expect the hemoglobin to be:

A 21-year-old female was recently diagnosed with iron deficiency anemia.In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit?

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

Considering anemia, what effect do vitamin B₁₂ and folate deficiencies have on red blood cells?

A patient has microcytic hypochromic anemia.Which of the following pathogenic mechanisms may cause anemia in this patient? (select all that apply)

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?

A 67-year-old female is admitted to the emergency department with a diagnosis of polycythemia vera.Upon taking the history, the patient will most likely report:

A patient is diagnosed with primary thrombocythemia.A nurse would expect the blood smear to reveal _____ platelets.

A 35-year-old male was diagnosed with hepatitis B.Further tests revealed neutropenia characterized by a neutrophil count less than _____ per milliliter.

A 25-year-old female has a heavy menses during which she loses a profuse amount of blood.Which of the following adaptations should the nurse expect?

Lab results showing high iron, bilirubin, and transferrin and low hemoglobin and hematocrit would support a diagnosis of which form of anemia?

A 40-year-old develops disseminated intravascular coagulation (DIC).Upon obtaining the history, which finding is the most likely cause of this condition?