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
The nurse is preparing the client for a bone marrow aspiration at the posterior iliac crest. What would be the best position for the nurse to place the client in for the test?
Correct Answer: C
Rationale: The client should be positioned on the back or side to facilitate access to the aspiration site. The 90?° semi-Fowler's and prone position would not allow adequate access to the bone marrow aspiration site. The lithotomy position is used for genitourinary and gynecological testing and procedures.
Question 2 of 5
A client has type AB blood. What type of blood must this client receive during a blood transfusion?
Correct Answer: A
Rationale: People with type AB blood are considered universal recipients because both A and B antigens are present on the red cell membrane. Clients with type AB blood can receive blood from persons with any type of blood, but the Rh factor must be compatible. The other distractors are incorrect because the client can receive blood from any type.
Question 3 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 4 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 5 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.