ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 30 : Introduction to the Hematopoietic and Lymphatic Systems Questions
Question 1 of 5
A client has been involved in an automobile accident and is assessed to have an enlarged spleen. What does the nurse understand is the significance of attempting to prevent unnecessary removal of the spleen for this client?
Correct Answer: B
Rationale: The spleen is the largest lymphatic structure, is a reservoir of blood, and contains phagocytes that engulf damaged erythrocytes and foreign substances. Lymph fluid takes waste debris away. The thymus is lymphoid tissue that is in the upper chest and contains stem cells. The spleen does not assist with blood clotting.
Question 2 of 5
Why would it be important for the nurse to obtain information regarding the dietary history of a client with a possible abnormality of the hematopoietic or lymphatic system?
Correct Answer: D
Rationale: The nurse obtains a dietary history because compromised nutrition interferes with the production of blood cells and hemoglobin. The history cannot determine if the illness is self-induced by starvation. Nutritional deficiencies do not cause diseases of the hematopoietic system and lymphatic system.
Question 3 of 5
A client is taking a medication that has the side effect of depressing the hematopoietic system. What signs of leukopenia should the nurse monitor for while the client is taking this drug?
Correct Answer: A
Rationale: Closely monitor clients taking medications that depress the hematopoietic system, particularly thrombocytes and leukocytes. Signs of leukopenia include fever, sore throat, and chills. Nausea and vomiting, diarrhea, diaphoresis, heat intolerance, and rash are not indicative of leukocytosis.
Question 4 of 5
The nurse is observing the skin of a client who is taking medications that depress the hematopoietic system and notices multiple areas of ecchymosis on the arms; bleeding for a prolonged period after an IV was started; and reports of black, tarry stool. What does the nurse understand may be a side effect of this medication that the client displays?
Correct Answer: C
Rationale: Signs of thrombocytopenia include unusual or easy bleeding; oozing from injection sites; bleeding gums; and dark, tarry stools. Leukocytosis would cause fever as well as other signs and symptoms of infection. Leukopenia symptoms are fever, sore throat, and chills. Neutropenia reduces the client's ability to fight infection and makes susceptible to microorganisms.
Question 5 of 5
When obtaining vital signs from a client who has reduced erythrocyte production and a hemoglobin level of 8.2 g/dL, what results would be indicative of these lab studies?
Correct Answer: A
Rationale: A rapid pulse rate can indicate reduced erythrocytes or inadequate hemoglobin levels. The respiratory rate for this client is within normal range. Hypertension is not indicative of a low hemoglobin level, and what is usually seen would be hypotension. The oxygen saturation level is within normal range.