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 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 2 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 3 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.
Question 4 of 5
The nurse observes that a client who had an arterial blood gas performed 30 minutes ago is still oozing blood from the puncture site. Pressure was held to the site for 5 minutes after the puncture and another 5 minutes when the site was still oozing. What factor does the nurse know will participate in the ability for the blood to clot?
Correct Answer: A
Rationale: Platelets participate in clotting blood. Leukocytes protect against infection. Erythrocytes transport oxygen, and albumin affects intravascular osmotic pressure.
Question 5 of 5
The nurse is reviewing laboratory studies that determine a client is deficient in copper. What does the nurse understand is the importance of copper in the body?
Correct Answer: C
Rationale: Copper is involved in the transfer of iron from storage to plasma. Folic acid and Bâ??â?? are essential for the maturation of red blood cells. Iron is the basic nutritional component of heme in hemoglobin. Vitamin B6 serves as a coenzyme in hemoglobin formation.