Exam 27: Hematologic and Lymphatic System Function,Assessment,and Therapeutic Measures

While receiving a unit of packed red blood cells,the patient begins to experience hives around the neck and upper chest.What actions should the nurse perform because of this reaction? (Select all that apply.)

A patient is prescribed to receive 2 units of packed red blood cells.What approach should the nurse use to ensure that the correct blood will be provided to this patient?

A patient with a bleeding disorder is prescribed an infusion of plasma.What should the nurse explain as being the purpose of this infusion?

The nurse is reviewing the activated partial thromboplastin time for a patient receiving heparin.Which value indicates that the medication is within the therapeutic range?

The nurse is monitoring a patient receiving a blood product and is concerned that the blood is going to deteriorate before it is complete infused.What is the maximum time that blood can hang during infusion before it begins to deteriorate?

A patient with a bleeding disorder is considering surgery to have the spleen removed.What should the nurse explain as being functions of the spleen in a healthy adult? (Select all that apply.)

The nurse is concerned that a patient is demonstrating signs of red blood cell production.What laboratory value did the nurse most likely use to make this decision?

A patient with type O+ blood is to receive 4 units of packed red blood cells.Which type of blood should the nurse expect to see prepared for this patient? (Select all that apply.)

The nurse notes that a patient's gaping wound is developing a blood clot.Which body substance is responsible for this clot formation?

A patient reports severe abdominal cramping and diarrhea.Assessment reveals a temperature of 102°F (38.8°C)and pulse of 82 beats/min.Results of a complete blood count reveal lower than normal segmented and banded neutrophils and higher than normal lymphocytes.Which type of infection does the nurse suspect this patient is most likely experiencing?

A patient has a platelet count of 75,000 /mm³.What action should the nurse take to support this patient?

An older adult patient is receiving a transfusion of packed red blood cells after being injured in a car accident.On assessment,the nurse notes a new finding of bounding pulse,crackles,and increasing dyspnea.What should the nurse do first,after stopping the transfusion?

A patient has a bone marrow aspiration from the posterior iliac crest.Before the procedure,the patient's vital signs were: blood pressure 132/82 mm Hg and pulse 88 beats/min.One hour after the procedure,the blood pressure is 108/70 mm Hg and pulse is 96 beats/min.Which assessment is the least important for the patient at this time?

A patient is being prepared to receive a prescribed blood transfusion.What is the best way that the LPN can assist the health team to prevent a transfusion reaction?

The nurse is caring for a patient who has a white blood cell (WBC)count of 8000/mm³.What concern should the nurse have about this finding?

A patient is admitted to determine why red blood cells are being quickly destructed in the body.What finding should the nurse associate with this patient's health problem?

A patient is prescribed a transfusion of washed packed red blood cells.What should the nurse realize as being the rationale for the using this type of blood?

The nurse is staying with a patient who has been started on a blood transfusion.Which assessment should the nurse perform during a blood product infusion to detect a reaction?

A patient with abdominal injuries from a motor vehicle crash is scheduled for surgery to remove the spleen.What bodily function will be affected by the removal of this organ?

The nurse is reviewing the results of a patient's arterial blood gas analysis.What should the nurse recognize as being a normal blood pH?